| Somerset Pain Clinic Pc | |
|
888 W Big Beaver Rd Suite 309 Troy MI 48084-4736 | |
| (248) 244-8700 | |
| (248) 244-8747 |
| Full Name | Somerset Pain Clinic Pc |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 888 W Big Beaver Rd, Troy, Michigan |
| Authorized Official Name and Position | Seid Cosovic (OWNER) |
| Authorized Official Contact | 2482448700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somerset Pain Clinic Pc Po Box 99160 Troy MI 48099-9160 Ph: (248) 244-8700 | Somerset Pain Clinic Pc 888 W Big Beaver Rd Suite 309 Troy MI 48084-4736 Ph: (248) 244-8700 |
| NPI Number | 1952460081 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 01/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952460081 | NPI | - | NPPES |
| 3510124 | Medicaid | MI | |
| 0806335011 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | SC057395 (Michigan) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | SC057395 (Michigan) | Primary |
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