| NPI | 1700833563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JAY KOVAN Physician 810-606-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101011645) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301055356) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301072856) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101011977) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2009-02-04 |