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NPI Code Detail

MEDICARE: SORBONNE SPORTS MEDICINE & REHABILITATION PC

MEDICARE: SORBONNE SPORTS MEDICINE & REHABILITATION PC
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
1261QP2000XPhysical Therapy Clinic/Center5501010077MI

General Provider Information

NPI Number : 1356688733
Entity Type Code : Organization
Provider Name (Legal Business Name) : SORBONNE SPORTS MEDICINE & REHABILITATION PC
Provider Business Mailing Address
First Line : 5626 METROPOLITAN PKWY
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-4107
Country : US
Telephone Number : 248-285-2505
Fax Number : 586-977-6501
Provider Business Practice Location Address
First Line : 5626 METROPOLITAN PKWY
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-4107
Country : US
Telephone Number : 248-285-2505
Fax Number : 586-977-6501
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALAIN GOREN
Credential :
Telephone Number : 248-285-2505
Provider Enumeration Date : 01/05/2013
Last Update Date : 09/04/2013

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