Organization
NEUROSPINE COVERAGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAN SIDDIQ MD (OWNER)
(248) 809-3240
Entity
Organization
Contact information
Practice address
13530 MICHIGAN AVE, DEARBORN, MI 48126-3574
(313) 463-8676
Mailing address
29425 NORTHWESTERN HWY, SUITE 202, SOUTHFIELD, MI 48034-1080
(248) 809-3240
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
07/02/2020
Last updated
01/23/2021
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