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NPI Code Detail

MEDICARE: COMPASS HEALTHCARE, PLLC

MEDICARE: COMPASS HEALTHCARE, PLLC
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 Therapist
2208100000XPhysical Medicine & Rehabilitation Physician
3225700000XMassage Therapist
4207T00000XNeurological Surgery Physician

General Provider Information

NPI Number : 1932533692
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASS HEALTHCARE, PLLC
Provider Business Mailing Address
First Line : 1575 RAMBLEWOOD DR STE 100
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-6384
Country : US
Telephone Number :
Fax Number : 517-999-3024
Provider Business Practice Location Address
First Line : 1575 RAMBLEWOOD DR STE 200
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-6384
Country : US
Telephone Number : 517-827-1800
Fax Number : 517-827-1805
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : SHAWNA WEDHORN
Credential :
Telephone Number : 517-999-5947
Provider Enumeration Date : 08/29/2013
Last Update Date : 06/10/2026

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Directions to “COMPASS HEALTHCARE, PLLC ” Practice Location

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