Organization
SPINE AND JOINT PAIN MANAGEMENT CENTER PC
Active
Organization
SPINE AND JOINT PAIN MANAGEMENT CENTER PC
Active
Other names
SPINE AND JOINT PAIN MANAGEMENT CENTER PC
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMED KAMRAN AHSAN MD (MD/OWNER)
(937) 673-3983
Entity
Organization
Contact information
Practice address
20180 W 12 MILE RD, STE 200, SOUTHFIELD, MI 48076-5412
(248) 200-7756
(248) 281-3535
Mailing address
1221 BOWERS ST UNIT 2653, BIRMINGHAM, MI 48012-7104
(937) 673-3983
(248) 281-3535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097463
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301097463
MI
Other
Enumeration date
03/27/2014
Last updated
04/28/2016
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