Michael Kenneth Distler in Grand Rapids - Physical Medicine & Rehabilitation

Michael Kenneth Distler - NPI 1215193917

Michael Kenneth Distler is a Physical Medicine & Rehabilitation in Grand Rapids, Michigan. Michael Kenneth Distler practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Michael Kenneth Distler is 1215193917. The last update date is 2023-05-22.

Michael Kenneth Distler's current location address is 1900 Wealthy St Se Ste 300, Grand Rapids, Michigan. You can contact this provider via phone number 6167748345 and fax number 6167748350. The mailing address for Michael Kenneth Distler is 1900 Wealthy St Se Ste 300, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Kenneth Distler
Address 1900 Wealthy St Se Ste 300, Grand Rapids, Michigan
Phone Number 6167748345
Fax Number 6167748350
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1215193917
Provider Enumeration Date 2008-08-01
Last Updated Date 2023-05-22

Provider Mailing Address Detail

Address 1900 Wealthy St Se Ste 300
City Grand Rapids
State Michigan (MI)
Post Code 495062969
Phone Number 6167748345
Fax Number 6167748350

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No 4301101693
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

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FAQs about Michael Kenneth Distler

What is the unique provider identifier assigned to Michael Kenneth Distler?

The Michael Kenneth Distler has been issued the NPI (National Provider Identifier) 1215193917 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Michael Kenneth Distler is physically located?

The Michael Kenneth Distler is situated at the following address: 1900 Wealthy St Se Ste 300, Grand Rapids, MI 495062969.

What is Michael Kenneth Distler's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael Kenneth Distler is Physical Medicine & Rehabilitation, and the taxonomy classification code that categorizes this area of expertise is 208100000X.

On what date did the Michael Kenneth Distler receive its 1215193917 assignment from the Centers for Medicare & Medicaid Services?

The Michael Kenneth Distler was assigned its 1215193917 by the Centers for Medicare & Medicaid Services on 2008-08-01.

As of what date were the details pertaining to Michael Kenneth Distler last refreshed?

The information related to the Michael Kenneth Distler, including its address, specialty, and other relevant details, was last updated on 2023-05-22.

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