Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renew Rehabilitative Medicine

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1184297954

Renew Rehabilitative Medicine is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Southfield, Michigan. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

24725 W 12 Mile Rd Ste 260
Southfield, MI 48034-8310
Phone: (248) 382-8052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X
Pain Clinic/Center Taxonomy 261QP3300X

Record details

NPI number1184297954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Morgan Glazer — Authorized Official · (248) 550-4800
NPI enumeratedJuly 20, 2021
Last updated in NPPESMay 20, 2022
Certification dateMay 20, 2022
Mailing address24725 W 12 Mile Rd Ste 260, Southfield, MI 48034-8310

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