Organization
SOUTHEAST MICHIGAN BRAIN AND SPINE SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RKIA ELAOUFIR (BILLING SPECIALIST)
(810) 732-8336
Entity
Organization
Contact information
Practice address
4800 S SAGINAW ST, SUITE 1800, FLINT, MI 48507-2669
(810) 732-8336
(810) 239-4346
Mailing address
4800 S SAGINAW ST, SUITE 1800, FLINT, MI 48507-2669
(810) 732-8336
(810) 239-4346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301093301
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619991023
INDIVIDUAL NPI
MI
01
—
4301093301
STATE LICENSE
MI
Enumeration date
09/23/2008
Last updated
01/11/2010
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