Organization
MICHIGAN SPINE INSTITUTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG D PEPPLER DO (OWNER)
(248) 740-9500
Entity
Organization
Contact information
Practice address
1819 E BIG BEAVER RD, SUITE 210, TROY, MI 48083-2015
(248) 740-9500
Mailing address
P.O. BOX 674134, DETROIT, MI 48267-4134
(248) 740-9500
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390F338520
BCBSM
—
Enumeration date
08/10/2007
Last updated
10/28/2008
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