Organization
ADVANCED INTERVENTIONAL SPINE AND SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CINDY ESCH (PRESIDENT)
(989) 400-6932
Entity
Organization
Contact information
Practice address
6382 E MILLBROOK RD, SHEPHERD, MI 48883-9327
(989) 400-6932
Mailing address
6382 E MILLBROOK RD, SHEPHERD, MI 48883-9327
(989) 400-6932
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4301092952
MI
261QP2300X
Primary Care Clinic/Center
4301092952
MI
261QP3300X
Pain Clinic/Center
4301092952
MI
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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