Organization
UZNIS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN UZNIS CARRON DPT (DOCTOR OF PHYSICAL THERAPY)
(313) 881-5678
Entity
Organization
Contact information
Practice address
18101 E WARREN AVE, DETROIT, MI 48224-1382
(313) 881-5678
(313) 881-9337
Mailing address
408 MADISON ST, GROSSE POINTE FARMS, MI 48236-3209
(313) 886-9331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501011454
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094960002
—
MI
01
—
30392
BLUE CROSS
MI
Enumeration date
04/19/2007
Last updated
08/22/2020
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