Organization
SOUTHEAST MICHIGAN INTERVENTIONAL PAIN SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN S TOMA MD (OWNER)
(248) 470-8912
Entity
Organization
Contact information
Practice address
2841 MONROE ST FL 2, DEARBORN, MI 48124-3492
(313) 998-8662
(313) 867-4581
Mailing address
2841 MONROE ST FL 2, DEARBORN, MI 48124-3492
(313) 998-8662
(313) 867-4581
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
11/21/2022
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