MEDICARE: REHABILITATION ASSOCIATES OF MIDMICHIGAN P L C

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
1	208100000X	Physical Medicine & Rehabilitation Physician		MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558433136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION ASSOCIATES OF MIDMICHIGAN P L C

Provider Business Mailing Address
First Line	:	555 W WACKERLY ST
Second Line	:	#3825
City	:	MIDLAND
State	:	MI
Zip	:	48640-4722
Country	:	US
Telephone Number	:	989-631-9267
Fax Number	:	989-839-0629

Provider Business Practice Location Address
First Line	:	555 W WACKERLY ST
Second Line	:	#3825
City	:	MIDLAND
State	:	MI
Zip	:	48640-4722
Country	:	US
Telephone Number	:	989-631-9267
Fax Number	:	989-839-0629

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN A SZAJENKO
Credential	:	M D
Telephone Number	:	989-631-9267

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	06/27/2013

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Directions to “REHABILITATION ASSOCIATES OF MIDMICHIGAN P L C ” Practice Location

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