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Organization
CENTER FOR ADVANCED INTERVENTIONAL SPINE TREATMENT PLC
Active
Organization
CENTER FOR ADVANCED INTERVENTIONAL SPINE TREATMENT PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EASA MD (SOLE MEMBER)
(616) 796-6430
Entity
Organization
Contact information
Practice address
12662 RILEY ST STE 120, HOLLAND, MI 49424-8023
(616) 796-6430
(616) 786-4324
Mailing address
12662 RILEY ST STE 120, HOLLAND, MI 49424-8023
(616) 796-6430
(616) 786-4324
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
JE069312
MI
Other
Enumeration date
10/20/2009
Last updated
01/08/2010
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