Organization
REM NATION PLLC
Active
Organization
REM NATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE BASH DO (PRESIDENT)
(855) 276-2111
Entity
Organization
Contact information
Practice address
611 COURT ST, SUITE 101A, WEST BRANCH, MI 48661-8820
(855) 276-2111
Mailing address
611 COURT ST STE 101A, WEST BRANCH, MI 48661-8820
(855) 276-2111
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
4301073336
MI
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
02/12/2016
Last updated
04/11/2016
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