# MICHIGAN SPINE AND BRAIN SURGERY PLLC

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

## Provider details

- **NPI number:** 1548660848
- **Authorized official:** DR. VIVEKANAND PALAVALI MD (OWNER)
- **Authorized official phone:** (810) 733-6430

## Contact information

- **Practice address:** G3239 BEECHER RD, FLINT, MI 48532-3616
- **Practice address phone:** (810) 733-7560
- **Mailing address:** G3239 BEECHER RD, FLINT, MI 48532-3616
- **Mailing address phone:** (810) 733-7560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | VP065576 | MI | Yes |

## Other

- **Enumeration date:** 08/25/2014
- **Last updated:** 08/25/2014