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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Physical Medicine & Rehabilitation · DEARBORN, MI

Registration Details

NPI Number
1871558536
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2006 (20.051441997198 yrs)
Last Updated
Oct 22, 2020
Licenses
4301068183 (MI)
4301068183 (MI)
4301068183 (MI)

Practice Information

Address
17000 HUBBARD DR STE 800
DEARBORN, MI, 481264205
Browse MI providers · Browse ZIP 48126
Phone
3132407595
Fax
2488936263
Primary Specialty
Physical Medicine & Rehabilitation
208100000X
Additional Specialty
204R00000X

Other Physical Medicine & Rehabilitation Providers in DEARBORN, MI

Name Credential NPI
HI CHUL SONG MD 1982674784
HI JOO KIM MD 1134199524
IN KWANG YOON MD 1598735987
ELIZABETH W EDMOND MD 1780643643
DR. MICHAEL K YOSHIDA MD 1871545244
DR. JOSE MENDEZ MD 1629020342
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.