Organization
ADVANCED PAIN SPECIALIST OF MICHIGAN PLLC
Active
Organization
ADVANCED PAIN SPECIALIST OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABIL H. HODROJ DO (ORGANIZER)
(313) 467-4466
Entity
Organization
Contact information
Practice address
34020 7 MILE RD STE 101, LIVONIA, MI 48152-3093
(786) 640-0604
(786) 640-0605
Mailing address
34020 7 MILE RD STE 101, LIVONIA, MI 48152-3093
(248) 516-5016
(786) 640-0605
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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