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Organization
MIDWEST SURGICAL AFFILIATES, PLLC
Active
Organization
MIDWEST SURGICAL AFFILIATES, PLLC
Active
Other names
Complete Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA WEAVER (OFFICE MANAGER)
(313) 581-3255
Entity
Organization
Contact information
Practice address
8560 N SILVERY LN STE 202, DEARBORN HEIGHTS, MI 48127-4515
(313) 581-3255
(313) 581-3755
Mailing address
8560 N SILVERY LN STE 202, DEARBORN HEIGHTS, MI 48127-4515
(313) 581-3255
(313) 581-3755
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
5101015792
MI
Other
Enumeration date
10/11/2017
Last updated
12/17/2018
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