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NPI 1467158915

NPI 1467158915 : MICHIGAN RHEUMATOLOGY AND WELLNESS CENTER : ROCHESTER HILLS, MI

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General NPI Number Information
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    NPI Number           |    1467158915
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHIGAN RHEUMATOLOGY AND WELLNESS CENTER 
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Dates
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    Enumeration Date     |    02/06/2023
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    Last Update Date     |    08/01/2023
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Provider Practice Location Address
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    Address Line         |    3950 S ROCHESTER RD STE 1300
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    City                 |    ROCHESTER HILLS
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    State                |    MI
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    Zip                  |    48307-5169
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    Country              |    US
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    Telephone            |    248-923-1300
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    Fax                  |    248-218-1071
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Provider Business Mailing Address
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    Address Line         |    3950 S ROCHESTER RD STE 1300 
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    City                 |    ROCHESTER HILLS
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    State                |    MI
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    Zip                  |    48307-5169
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    Country              |    US
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    Telephone            |    248-923-1300
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    Fax                  |    248-218-1071
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    MRS. CECILIA  PEREZ 
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    Credential           |    
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    Telephone            |    248-923-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    
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