Organization
SPINE.HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KEITH WINGATE MD (PRESIDENT)
(248) 228-0054
Entity
Organization
Contact information
Practice address
15565 NORTHLAND DR W STE 304, SOUTHFIELD, MI 48075-5313
(248) 809-3631
(248) 642-8992
Mailing address
1221 BOWERS ST UNIT 2710, BIRMINGHAM, MI 48012-7106
(248) 396-7612
(248) 566-3316
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
4301088960
MI
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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