| Rebalance Health and Wellness | |
|
37619 Pembroke Ave Livonia MI 48152-1050 | |
| (734) 547-1066 | |
| Not Available |
| Full Name | Rebalance Health and Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 37619 Pembroke Ave, Livonia, Michigan |
| Authorized Official Name and Position | Elaina Vayntrub (OWNER) |
| Authorized Official Contact | 7349260061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebalance Health and Wellness 37619 Pembroke Ave Livonia MI 48152-1050 | Rebalance Health and Wellness 37619 Pembroke Ave Livonia MI 48152-1050 Ph: (734) 547-1066 |
| NPI Number | 1386452845 |
|---|---|
| Provider Enumeration Date | 12/30/2024 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Medicare PECOS PAC ID | 4688190580 |
|---|---|
| Medicare Enrollment ID | O20250423003465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386452845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Elaina Vayntrub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770573958 PECOS PAC ID: 7416984687 Enrollment ID: I20050719001010 |
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