1619969540 SOUTHFIELD REHABILITATION COMPANY

Ambulatory Surgical Clinic/Center

Reactivated

Basic Information

Organization Name
SOUTHFIELD REHABILITATION COMPANY
Enumeration Date
August 17, 2005
Last Update
October 24, 2024
Deactivation Date
June 4, 2008
Reactivation Date
September 8, 2008
Authorized Official
RONDA SELEY
MEDICAL STAFF COORDINATOR
Phone: (248) 423-5198

Practice Location

Address
11012 THIRTEEN MILE ROAD
SUITE 112A
WARREN, MI 480932546
Phone
(586) 751-9800
Fax
(586) 751-9818

Mailing Address

Address
22401 FOSTER WINTER DR
SOUTHFIELD, MI 480753724
Phone
(248) 423-5100
Fax
(248) 423-5199

Specialties & Taxonomies

Specialty Code Classification License State Primary
Orthopaedic Surgery Physician
207X00000X Orthopaedic Surgery 506840 MI No
Orthopaedic Hand Surgery Physician
Hand Surgery
207XS0106X Orthopaedic Surgery 506840 MI No
Sports Medicine (Orthopaedic Surgery) Physician
Sports Medicine
207XX0005X Orthopaedic Surgery 506840 MI No
Surgery of the Hand (Plastic Surgery) Physician
Surgery of the Hand
2082S0105X Plastic Surgery 506840 MI No
Neurology Physician
Neurology
2084N0400X Psychiatry & Neurology 506840 MI No
Ambulatory Surgical Clinic/Center
Ambulatory Surgical
261QA1903X Clinic/Center N/A N/A No
General Acute Care Hospital
282N00000X General Acute Care Hospital N/A N/A No
Certified Registered Nurse Anesthetist
367500000X Nurse Anesthetist, Certified Registered 506840 MI No
Ambulatory Surgical Clinic/Center
Ambulatory Surgical
261QA1903X Clinic/Center 506840 MI Primary

Other Identifiers

Identifier Type State Issuer
135598502 01 MI U.S. DEPARTMENT OF LABOR
40003 01 MI BCBS OF MI
029594 01 MI MIDWEST HEALTH PLAN
40003 01 MI BCBS OF MICHIGAN
1031384 01 MI MCLAREN HEALTH PLAN
38230 01 MI HEALTH PLAN OF MICHIGAN
4483448 01 MI AETNA

Frequently Asked Questions

What is SOUTHFIELD REHABILITATION COMPANY's NPI number?
SOUTHFIELD REHABILITATION COMPANY's NPI number is 1619969540.
Which doctor has NPI number 1619969540?
The doctor with NPI number 1619969540 is SOUTHFIELD REHABILITATION COMPANY.
What is SOUTHFIELD REHABILITATION COMPANY's practice address?
SOUTHFIELD REHABILITATION COMPANY's practice address is 11012 THIRTEEN MILE ROAD, SUITE 112A, WARREN, MI, 480932546.
Which doctor practices at 11012 THIRTEEN MILE ROAD, SUITE 112A, WARREN, MI, 480932546?
SOUTHFIELD REHABILITATION COMPANY practices at 11012 THIRTEEN MILE ROAD, SUITE 112A, WARREN, MI, 480932546.
What is SOUTHFIELD REHABILITATION COMPANY's mailing address?
SOUTHFIELD REHABILITATION COMPANY's mailing address is 22401 FOSTER WINTER DR, SOUTHFIELD, MI, 480753724.
What is SOUTHFIELD REHABILITATION COMPANY's phone number?
SOUTHFIELD REHABILITATION COMPANY's phone number is (586) 751-9800.
Who is (586) 751-9800?
(586) 751-9800 is the phone number for SOUTHFIELD REHABILITATION COMPANY.
What is SOUTHFIELD REHABILITATION COMPANY's specialty?
SOUTHFIELD REHABILITATION COMPANY's specialty is Ambulatory Surgical Clinic/Center.
What type of doctor is SOUTHFIELD REHABILITATION COMPANY?
SOUTHFIELD REHABILITATION COMPANY is a Ambulatory Surgical Clinic/Center.
Is SOUTHFIELD REHABILITATION COMPANY a Ambulatory Surgical?
Yes, SOUTHFIELD REHABILITATION COMPANY is a Ambulatory Surgical.
Is SOUTHFIELD REHABILITATION COMPANY still practicing?
Yes, SOUTHFIELD REHABILITATION COMPANY has reactivated their practice and is currently practicing.
Is SOUTHFIELD REHABILITATION COMPANY accepting new patients?
SOUTHFIELD REHABILITATION COMPANY may be accepting new patients. Please call their office at (586) 751-9800 to inquire about availability.
Is NPI 1619969540 still active?
Yes, NPI 1619969540 has been reactivated and is currently active.
Where does SOUTHFIELD REHABILITATION COMPANY practice?
SOUTHFIELD REHABILITATION COMPANY practices in WARREN, MI.