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Organization
PREMIER SPINAL PAIN MANAGEMENT CENTER, PLLC
Active
Organization
PREMIER SPINAL PAIN MANAGEMENT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYATRI GARG M.D. (OWNER)
(313) 381-1650
Entity
Organization
Contact information
Practice address
15101 SOUTHFIELD RD, SUITE 103, ALLEN PARK, MI 48101-2697
(313) 381-1650
(313) 381-1652
Mailing address
15101 SOUTHFIELD RD, SUITE 103, ALLEN PARK, MI 48101-2697
(313) 381-1650
(313) 381-1652
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301042515
MI
Other
Enumeration date
12/11/2008
Last updated
09/06/2009
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