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NPI Code Detail

MEDICARE: BRIAN MACKS

MEDICARE: BRIAN MACKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1548762594
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN MACKS
Provider Business Mailing Address
First Line : 44800 DELCO BLVD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48313-1026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 44800 DELCO BLVD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48313-1026
Country : US
Telephone Number : 586-726-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2018
Last Update Date : 04/14/2021

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Directions to “ BRIAN MACKS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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