Organization
PREMIER SPINAL PAIN MANAGEMENT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYATRI GARG M.D. (OWNER)
(313) 381-1650
Entity
Organization
Contact information
Practice address
15101 SOUTHFIELD RD, SUITE 103, ALLEN PARK, MI 48101-2697
(313) 381-1650
(313) 381-1652
Mailing address
15101 SOUTHFIELD RD, SUITE 103, ALLEN PARK, MI 48101-2697
(313) 381-1650
(313) 381-1652
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301042515
MI
Other
Enumeration date
12/11/2008
Last updated
09/06/2009
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