Organization
SOUTHWEST SPINE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN VICTOR AWWAD D.C. (OWNER)
(269) 432-9595
Entity
Organization
Contact information
Practice address
521 N BURR OAK RD, COLON, MI 49040-9403
(269) 432-9595
Mailing address
26421 SOUTHFIELD ROAD, LATHRUP VILLAGE, MI 48076
(249) 805-5066
(249) 905-5069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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