Organization
INTEGRATIVE SPINE AND PAIN MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JAY KOVAN M.D. (PHYSICIAN)
(810) 606-7181
Entity
Organization
Contact information
Practice address
12851 GRAND RIVER RD, BRIGHTON, MI 48116-8506
(810) 606-7181
(810) 606-7174
Mailing address
4632 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-7181
(810) 606-7174
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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