Organization
INTERVENTIONAL PAIN SPECIALISTS OF MICHIGAN PLLC
Active
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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