Organization
MIPC PHYSICAL THERAPY
Active
Parent organization
MICHIGAN INTERVENTIONAL PAIN CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN INTERVENTIONAL PAIN CENTER
Authorized official
MS. CARLA HALADJIAN (CHIEF FINANCIAL OFFICER)
(313) 727-5678
Entity
Organization
Contact information
Practice address
19725 ALLEN RD BLDG 1, SUITE B, BROWNSTOWN TWP, MI 48183-1090
(734) 225-8728
(734) 225-8726
Mailing address
21 STRATTON PL, GROSSE POINTE SHORES, MI 48236-1771
(313) 727-5678
(313) 332-1955
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4301077632
MI
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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