Organization
MICHIGAN SPINE AND BRAIN INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ADAMS (OWNER)
(989) 753-4000
Entity
Organization
Contact information
Practice address
5400 MACKINAW RD, STE 2300, SAGINAW, MI 48604-9515
(989) 753-4000
(989) 754-4000
Mailing address
4009 ORCHARD DR, STE 3003, MIDLAND, MI 48670-9515
(989) 753-4000
(989) 754-4000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4647680
—
MI
01
—
669049001
PTAN
MI
Enumeration date
11/19/2012
Last updated
09/12/2013
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