| Rebalance Integrative Health Pllc | |
|
46325 W 12 Mile Rd Ste 390 Novi MI 48377-2464 | |
| (248) 719-7271 | |
| (248) 719-7245 |
| Full Name | Rebalance Integrative Health Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 46325 W 12 Mile Rd Ste 390, Novi, Michigan |
| Authorized Official Name and Position | Elaina Vayntrub (OWNER) |
| Authorized Official Contact | 2487197271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebalance Integrative Health Pllc 46325 W 12 Mile Rd Ste 390 Novi MI 48377-2464 Ph: (248) 719-7271 | Rebalance Integrative Health Pllc 46325 W 12 Mile Rd Ste 390 Novi MI 48377-2464 Ph: (248) 719-7271 |
| NPI Number | 1932845484 |
|---|---|
| Provider Enumeration Date | 05/09/2022 |
| Last Update Date | 05/09/2022 |
| Medicare PECOS PAC ID | 8820476153 |
|---|---|
| Medicare Enrollment ID | O20220527001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932845484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elaina Vayntrub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770573958 PECOS PAC ID: 7416984687 Enrollment ID: I20050719001010 |
| Provider Name | Tassia Pfefferkorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467716514 PECOS PAC ID: 9638486749 Enrollment ID: I20150922000305 |
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