Organization
SUPERIOR INTERVENTIONAL PAIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSTAFA SHUKR (MD)
(313) 415-2233
Entity
Organization
Contact information
Practice address
1190 E 12 MILE RD STE 2, MADISON HEIGHTS, MI 48071-2648
(248) 629-6242
Mailing address
1190 E 12 MILE RD STE 2, MADISON HEIGHTS, MI 48071-2648
(248) 629-6242
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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