| Organization Name: | MICHIGAN DIZZINESS AND BALANCE CLINIC, INC |
| NPI Number: | 1043548688 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIRENDRA DANU (VICE PRESIDENT) |
| Mailing Address: | 1848 Biddle Ave Suite 102 Wyandotte |
| State: | MI US |
| Postal Code: | 481923962 |
| Phone Number: | 7342464900 |
| Fax Number: | 7342464920 |
| NPI Enumeration Date: | 11/19/2009 |
| NPI Last Update Date: | 11/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501005873 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |