Organization · Type 2 NPI
Southfield Rehabilitation Company
Diagnostic Radiology Physician · Warren, MI
NPI number
1477722585
Active · reactivated Sep 3, 2008
Practice location
11012 Thirteen Mile Road, Suite 111
Warren, MI 48093-2546
Fax (586) 558-8481
Mailing address
22401 Foster Winter Dr
Southfield, MI 48075-3724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 4301046061 (MI) |
| Mobile Radiology Clinic/Center | 261QR0208X | 50C656 (MI) |
| General Acute Care Hospital | 282N00000X | 630013 (MI) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2 other providers at this address
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About NPI 1477722585
Southfield Rehabilitation Company's National Provider Identifier is 1477722585, issued on Feb 22, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Warren, MI. The record was last updated on Feb 13, 2026.