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Organization

TRI-COUNTY PAIN CONSULTANTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS WILLIAM DOBRITT DO (PRESIDENT)
(248) 626-8200
Entity
Organization

Contact information

Practice address
26850 PROVIDENCE PKWY, SUITE 260, NOVI, MI 48374-1213
(248) 735-8272
(248) 735-7276
Mailing address
61 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4124
(616) 940-0660
(616) 940-1965

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050D111560
BCBSM
MI
Enumeration date
04/26/2006
Last updated
11/19/2008
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