MICHIGAN PAIN&SPINE CLINIC PLLC NPI 1538597877

NPI Information

NPI: 1538597877
Provider Name: MICHIGAN PAIN&SPINE CLINIC PLLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 23D0725304

Address:
6255 INKSTER RD STE 105
GARDEN CITY, MI
ZIP 48135
Phone: (313) 831-4800
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MICHIGAN PAIN&SPINE CLINIC PLLC is a pain clinic center in Garden City, MI. MICHIGAN PAIN&SPINE CLINIC PLLC NPI is 1538597877. The provider is registered as an organization entity type.

The provider's business location address is:

6255 INKSTER RD STE 105
GARDEN CITY, MI
ZIP 48135-538
Phone: (313) 831-4800
Fax: (313) 495-7104

The provider's authorized official is Sruthi Kondur .
The authorized official title is President and has the following contact phone number (313) 831-4800.

The CLIA number assigned to this NPI record is 23D0725304 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2013 and was last updated on 2/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain	4301086330	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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