Healthcare Provider Details

I. General information

NPI: 1538954292
Provider Name (Legal Business Name): MICHIGAN REHAB CONSULTANT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35105 SILVANO STREET SUITE 8
CLINTON TOWNSHIP MI
48035
US

IV. Provider business mailing address

50714 NESTING RIDGE DR
MACOMB MI
48044-1384
US

V. Phone/Fax

Practice location:
  • Phone: 586-275-7044
  • Fax: 312-392-5195
Mailing address:
  • Phone: 248-224-3529
  • Fax: 312-392-5195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JULIET GAISEY
Title or Position: OWNER & MEDICAL DIRECTOR
Credential: MD
Phone: 248-224-3529