Organization Name: | MEDICAL RESOURCES GROUP |
NPI Number: | 1063624757 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHIL HUNSBERGER (CHIEF ADMINISTRATIVE OFFICER) |
Mailing Address: | 17900 23 Mile Rd Suite 401 Macomb |
State: | MI US |
Postal Code: | 480441161 |
Phone Number: | 5868689040 |
Fax Number: | 5868689013 |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 09/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |