Organization
WEST MICHIGAN INTERVENTIONAL PAIN & SPINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY KWIECIEN MD (OWNER)
(734) 765-1803
Entity
Organization
Contact information
Practice address
6400 W MAIN ST STE A, KALAMAZOO, MI 49009-9255
(269) 263-6089
(269) 263-6119
Mailing address
9 LABELLE TER, RICHLAND, MI 49083-9611
(734) 765-1803
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
07/18/2023
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