Organization
MICHIGAN SPINE &BRAIN SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVEKANAND PALAVALI MD (OWNER)
(810) 733-7560
Entity
Organization
Contact information
Practice address
G3239 BEECHER RD, FLINT, MI 48532-3616
(810) 733-7560
(810) 733-0190
Mailing address
G3239 BEECHER RD, FLINT, MI 48532-3616
(810) 733-7560
(810) 733-0190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
VP
MI
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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