Organization
MILLENIUM ADVANCED PAIN MANAGEMENT & THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORAM O MOGAKA MD (CEO)
(248) 809-2853
Entity
Organization
Contact information
Practice address
17330 NORTHLAND PARK CT, SOUTHFIELD, MI 48075-4318
(248) 809-9921
(248) 809-9921
Mailing address
17330 NORTHLAND PARK CT, SOUTHFIELD, MI 48075-4318
(248) 809-9921
(248) 809-9921
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
MI
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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