Organization
INTERVENTIONAL PAIN SPECIALISTS OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIVA KUMAR SRIPADA DO (ADMIN)
(810) 275-9152
Entity
Organization
Contact information
Practice address
13460 FORT ST, SOUTHGATE, MI 48195-1138
(313) 263-5961
(313) 263-5963
Mailing address
14000 DIX TOLEDO RD, PO BOX 1915, SOUTHGATE, MI 48195-9500
(313) 263-5961
(313) 263-5963
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
5101016685
MI
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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