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Organization
TRI-STATE PHYSICIANS GROUP PC
Active
Organization
TRI-STATE PHYSICIANS GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPILIOS PAPPAS M.D. (AUTHORIZED OFFICIAL)
(313) 986-1011
Entity
Organization
Contact information
Practice address
3011 W GRAND BLVD, SUITE 306, DETROIT, MI 48202-3096
(313) 986-1011
Mailing address
3011 W GRAND BLVD, SUITE 306, DETROIT, MI 48202-3096
(313) 986-1011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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