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Organization

HANGING DROP PC

Active
Other names
MidMichigan Pain Institute
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ZAZA GODZIASHVILI M.D. (PRESIDENT)
(989) 894-5621
Entity
Organization

Contact information

Practice address
2010 15TH ST, BAY CITY, MI 48708-7606
(989) 894-5621
(989) 893-3528
Mailing address
2010 15TH ST., BAY CITY, MI 48708
(989) 894-5621
(989) 893-3528

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
4301075665
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301075665
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01003119
HEALTHPLUS
MI
01
0500910751
BCR
MI
Enumeration date
03/05/2007
Last updated
07/20/2015
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