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Organization
PAIN MD, PLLC
Active
Organization
PAIN MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAYEZ KOTOB M.D. (OWNER/PRESIDENT)
(810) 230-7400
Entity
Organization
Contact information
Practice address
5050 VILLA LINDE PKWY, SUITE A, FLINT, MI 48532-3436
(810) 230-7400
Mailing address
PO BOX 430, GRAND BLANC, MI 48480-0430
(810) 230-7400
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301098964
MI
Other
Enumeration date
12/30/2014
Last updated
03/31/2015
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