Provider Demographics
NPI:1538954292
Name:MICHIGAN REHAB CONSULTANT PC
Entity type:Organization
Organization Name:MICHIGAN REHAB CONSULTANT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:GAISEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-224-3529
Mailing Address - Street 1:50714 NESTING RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-1384
Mailing Address - Country:US
Mailing Address - Phone:248-224-3529
Mailing Address - Fax:312-392-5195
Practice Address - Street 1:50714 NESTING RIDGE DR
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-1384
Practice Address - Country:US
Practice Address - Phone:248-224-3529
Practice Address - Fax:312-392-5195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty