Organization
DOCTORS NETWORK PC
Active
Organization
DOCTORS NETWORK PC
Active
Other names
INTERVENTIONAL PAIN SPECIALISTS OF MICHIGAN
Organization subpart
No
Provider details
NPI number
Authorized official
ATIF BAWAHAB (PRESIDENT)
(810) 813-4094
Entity
Organization
Contact information
Practice address
13530 MICHIGAN AVE, DEARBORN, MI 48126-3574
(734) 673-5917
(314) 667-6915
Mailing address
23169 MICHIGAN AVE, SUITE #23135, DEARBORN, MI 48124-0001
(734) 673-5917
(314) 667-6915
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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