# TRI-STATE PHYSICIANS GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033654595
- **Authorized official:** SPILIOS PAPPAS M.D. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (313) 986-1011

## Contact information

- **Practice address:** 3011 W GRAND BLVD, SUITE 306, DETROIT, MI 48202-3096
- **Practice address phone:** (313) 986-1011
- **Mailing address:** 3011 W GRAND BLVD, SUITE 306, DETROIT, MI 48202-3096
- **Mailing address phone:** (313) 986-1011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2016
- **Last updated:** 12/19/2016