Organization
MEDICAL REHABILITATION CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BACHU H ABRAHAM MD (OWNER)
(313) 344-0663
Entity
Organization
Contact information
Practice address
26206 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-8500
(313) 344-0663
Mailing address
PO BOX 2705, SOUTHFIELD, MI 48037-2705
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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