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Organization

METRO PHYSIATRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANTHOSH MADHAVAN M.D. (PHYSICIAN)
(248) 761-9556
Entity
Organization

Contact information

Practice address
26900 FRANKLIN RD, SOUTHFIELD, MI 48033
(248) 350-8070
Mailing address
7623 WINDGATE CIR, WEST BLOOMFIELD, MI 48323-3913
(248) 761-9556
(248) 624-2356

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301050998
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2506334501
BCBS
MI
05
4149829
MI
Enumeration date
01/10/2007
Last updated
08/22/2020
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