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NPI Code Detail

MEDICARE: LISA MARIE BIRKMEIER

MEDICARE: LISA MARIE BIRKMEIER
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 Therapist5501015487MI

General Provider Information

NPI Number : 1609169721
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MARIE BIRKMEIER
Provider Business Mailing Address
First Line : 50475 GRATIOT AVE
Second Line : SUITE B
City : CHESTERFIELD
State : MI
Zip : 48051-3128
Country : US
Telephone Number : 586-598-0050
Fax Number : 586-598-1804
Provider Business Practice Location Address
First Line : 50475 GRATIOT AVE
Second Line : SUITE B
City : CHESTERFIELD
State : MI
Zip : 48051-3128
Country : US
Telephone Number : 586-598-0050
Fax Number : 586-598-1804
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2011
Last Update Date : 05/23/2011

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Directions to “ LISA MARIE BIRKMEIER ” Practice Location

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