# MEDICUS PAIN AND SPINE PLC

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

## Provider details

- **NPI number:** 1871528844
- **Authorized official:** RICHARD K NADJARIAN M.D. (MEMBER)
- **Authorized official phone:** (248) 594-7900

## Contact information

- **Practice address:** 36880 WOODWARD AVE, 220, BLOOMFIELD HILLS, MI 48304-0919
- **Practice address phone:** (248) 594-7900
- **Practice address fax:** (248) 307-9578
- **Mailing address:** PO BOX 2193, BIRMINGHAM, MI 48012-2193
- **Mailing address phone:** (248) 594-7900
- **Mailing address fax:** (248) 307-9578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 4301070388 | MI | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/25/2011