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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