Organization
MICHIGAN ORTHOPEDIC SPINE & INTERVENTIONALIST PLLC
Active
Organization
MICHIGAN ORTHOPEDIC SPINE & INTERVENTIONALIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BACHU ABRAHAM MD (OWNER)
(989) 600-0242
Entity
Organization
Contact information
Practice address
17290 STONEBROOK DR, NORTHVILLE, MI 48168-4324
(989) 600-0242
Mailing address
PO BOX 250665, WEST BLOOMFIELD, MI 48325-0665
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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