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General NPI Number Information
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NPI Number | 1356209597
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Entity Type | Organization
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Legal Business Name | STILLWATER REHABILITATION MEDICINE PLLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 433 SEMINOLE RD STE 205
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City | NORTON SHORES
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State | MI
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Zip | 49444-3743
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Country | US
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Telephone | 231-769-0190
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Fax |
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Provider Business Mailing Address
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Address Line | 1695 ROOD POINT RD
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City | NORTON SHORES
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State | MI
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Zip | 49441-4879
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CHRISTIE MCKINNEY
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Credential | DO
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Telephone | 734-552-9282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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