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Organization
HANGING DROP PC
Active
Organization
HANGING DROP PC
Active
Other names
MidMichigan Pain Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAZA GODZIASHVILI M.D. (PRESIDENT)
(989) 894-5621
Entity
Organization
Contact information
Practice address
2010 15TH ST, BAY CITY, MI 48708-7606
(989) 894-5621
(989) 893-3528
Mailing address
2010 15TH ST., BAY CITY, MI 48708
(989) 894-5621
(989) 893-3528
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301075665
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301075665
MI
Other
Enumeration date
03/05/2007
Last updated
07/20/2015
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