Organization
INTEGRATED SPINE AND PAIN CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZEM ABDELFATTAH M.D. (MEDICAL DOCTOR)
(269) 381-2800
Entity
Organization
Contact information
Practice address
1324 S. PARK STREET, KALAMAZOO, MI 49001
(269) 381-2800
Mailing address
1324 S. PARK STREET, KALAMAZOO, MI 49001
(269) 381-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301062116
MI
332B00000X
Durable Medical Equipment & Medical Supplies
ME120998
MI
363LF0000X
Family Nurse Practitioner
4704241734
MI
Other
Enumeration date
12/28/2015
Last updated
05/25/2016
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