Organization
SOUTHFIELD PAIN MANGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM S GONTE M.D (OWNER)
(248) 701-5222
Entity
Organization
Contact information
Practice address
28035 SOUTHFIELD RD, 100, LATHRUP VILLAGE, MI 48076-2858
(248) 701-5222
Mailing address
28035 SOUTHFIELD RD, 100, LATHRUP VILLAGE, MI 48076-2858
(248) 701-5222
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
4301406796
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043314164
NPI
MI
Enumeration date
02/05/2016
Last updated
02/05/2016
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