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Organization

JAVERY PAIN INSTITUTE PC

Active
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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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