Organization
MICHIGAN PAIN&SPINE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRUTHI KONDUR MD (PRESIDENT)
(313) 831-4800
Entity
Organization
Contact information
Practice address
6255 INKSTER RD STE 105, GARDEN CITY, MI 48135-2538
(313) 831-4800
(313) 495-7104
Mailing address
6255 INKSTER RD STE 105, GARDEN CITY, MI 48135-2538
(313) 831-4800
(313) 495-7104
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
4301086330
MI
Other
Enumeration date
10/23/2013
Last updated
02/03/2019
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