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1679195465
REVIVE SPORTS & SPINE MANAGEMENT
WARREN, MI
NPI
1679195465
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Entity Type
Organization
Authorized Contact
HAROUN ALI FETTEH
Doctor/Owner
313-790-3998
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2020-05-14
Last Update Date
2020-05-14
Business Address
REVIVE SPORTS & SPINE MANAGEMENT
27253 VAN DYKE AVE
WARREN, MI 48093-2858
Phone number: 586-486-4520
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Mailing Address
REVIVE SPORTS & SPINE MANAGEMENT
PO BOX 7175
DEARBORN, MI 48121-7175
Phone number: 313-790-3998
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