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Contact Information

RENEW SPINE AND REHAB INC
24725 W 12 MILE RD STE 260
SOUTHFIELD, MI48034-8310
 Phone: 248-353-2225
 Fax: 248-353-2239
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
 

Rehabilitation

111NR0400X 35 Chiropractic
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RENEW SPINE AND REHAB INC

NPI Number 1861206153
LBN Legal business name RENEW SPINE AND REHAB INC
Authorized official MORGAN GLAZER - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2025
Last updated 02/05/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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