Organization
JAVERY PAIN INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH JAVERY DO (OWNER)
(616) 588-7246
Entity
Organization
Contact information
Practice address
710 KENMOOR AVE SE, SUITE 200, GRAND RAPIDS, MI 49546-2379
(616) 588-7246
(616) 588-7086
Mailing address
710 KENMOOR AVE SE, SUITE 200, GRAND RAPIDS, MI 49546-2379
(616) 588-7246
(616) 588-7086
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
5101012927
MI
Other
Enumeration date
03/25/2009
Last updated
05/27/2009
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