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Organization

ADVANCE SPINE & PAIN

Active
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Organization

ADVANCE SPINE & PAIN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER AJLOUNI MD (PHYSICIAN)
(313) 407-4422
Entity
Organization

Contact information

Practice address
24715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-3207
(586) 779-7970
Mailing address
10 LOCHMOOR BLVD, GROSSE POINTE SHORES, MI 48236-1748

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—

Other

Enumeration date
02/07/2018
Last updated
03/17/2018
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