Organization
MICHIGAN SPINE & JOINT CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY SMITH (INSURANCE MANAGER)
15867256100
Entity
Organization
Contact information
Practice address
32500 23 MILE RD, CHESTERFIELD, MI 48047-1991
(158) 672-5310
(158) 672-5315
Mailing address
32500 23 MILE RD, CHESTERFIELD, MI 48047-1991
(158) 672-5310
(158) 672-5315
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
4301074605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JG407472
BCBS OF MICHIGAN
MI
Enumeration date
09/04/2007
Last updated
12/02/2008
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