Organization
MIDWEST SURGICAL AFFILIATES, PLLC
Active
Other names
Complete Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA WEAVER (OFFICE MANAGER)
(313) 581-3255
Entity
Organization
Contact information
Practice address
8560 N SILVERY LN STE 202, DEARBORN HEIGHTS, MI 48127-4515
(313) 581-3255
(313) 581-3755
Mailing address
8560 N SILVERY LN STE 202, DEARBORN HEIGHTS, MI 48127-4515
(313) 581-3255
(313) 581-3755
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
5101015792
MI
Other
Enumeration date
10/11/2017
Last updated
12/17/2018
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