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Organization
INTEGRATIVE SPINE AND PAIN MANAGEMENT, PLLC
Active
Organization
INTEGRATIVE SPINE AND PAIN MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JAY KOVAN M.D. (PHYSICIAN)
(810) 606-7181
Entity
Organization
Contact information
Practice address
12851 GRAND RIVER RD, BRIGHTON, MI 48116-8506
(810) 606-7181
(810) 606-7174
Mailing address
4632 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-7181
(810) 606-7174
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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