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Organization

SOUTHERN MICHIGAN PAIN CONSULTANTS PC

Active
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Organization

SOUTHERN MICHIGAN PAIN CONSULTANTS PC

Active
Other names
Axia Spine and Pain
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW KUIPER DO (PRESIDENT)
(269) 329-2887
Entity
Organization

Contact information

Practice address
3770 GLENKERRY CT, PORTAGE, MI 49024-0700
(269) 329-2887
(269) 329-2805
Mailing address
3770 GLENKERRY CT, PORTAGE, MI 49024-0700
(269) 329-2887
(269) 329-2805

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050D111320
BCBSM
MI
Enumeration date
05/11/2006
Last updated
06/09/2026
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