Organization
SPINE SPECIALIST OF MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS N RADDEN DO (PRESIDENT)
(248) 497-9477
Entity
Organization
Contact information
Practice address
32270 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2456
(248) 792-9496
(248) 792-9628
Mailing address
32406 FRANKLIN RD UNIT 250493, FRANKLIN, MI 48025-7016
(248) 497-9477
(248) 865-4231
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF7468
MEDICARE RAILROAD
—
Enumeration date
06/21/2007
Last updated
03/28/2023
Update your record
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