Organization
ADVANCED SPINAL RECONSTRUCTION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA J MOREARTY (BILLER)
(248) 421-0243
Entity
Organization
Contact information
Practice address
972 CHESTERFIELD AVE, BIRMINGHAM, MI 48009-1223
(248) 228-0054
Mailing address
1221 BOWERS ST UNIT 2710, BIRMINGHAM, MI 48012-7106
(248) 228-0054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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