MEDICARE: MARCEL SOLEIMANI DPT

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1952164014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCEL SOLEIMANI DPT

Provider Business Mailing Address
First Line	:	2875 OLDEN OAK LN APT 101
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-2137
Country	:	US
Telephone Number	:	248-872-5634
Fax Number	:

Provider Business Practice Location Address
First Line	:	2675 LAPEER RD
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-1926
Country	:	US
Telephone Number	:	248-838-9010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2024
Last Update Date	:	02/01/2024

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