Organization
MICHIGAN ORTHOPEDIC CARE & SPINE INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHANG RAAII MD (MEDICAL DIRECTOR)
(515) 520-0200
Entity
Organization
Contact information
Practice address
4520 FIRESTONE ST STE C, DEARBORN, MI 48126-4602
(515) 520-0200
Mailing address
5560 CLOVERDALE RD, HANOVER PARK, IL 60133-3648
(630) 234-0910
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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