Spine And Joint Pain Management Center Pc | |
20180 W 12 Mile Rd Ste 200 Southfield MI 48076-5412 | |
(248) 200-7756 | |
(248) 281-3535 |
Full Name | Spine And Joint Pain Management Center Pc |
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Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 20180 W 12 Mile Rd, Southfield, Michigan |
Authorized Official Name and Position | Muhammed Kamran Ahsan (MD/OWNER) |
Authorized Official Contact | 9376733983 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spine And Joint Pain Management Center Pc 1221 Bowers St Unit 2653 Birmingham MI 48012-7104 Ph: (937) 673-3983 | Spine And Joint Pain Management Center Pc 20180 W 12 Mile Rd Ste 200 Southfield MI 48076-5412 Ph: (248) 200-7756 |
NPI Number | 1659798627 |
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Provider Enumeration Date | 03/27/2014 |
Last Update Date | 04/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659798627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301097463 (Michigan) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301097463 (Michigan) | Primary |
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