Organization
SOMERSET PAIN CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEID COSOVIC MD (OWNER)
(248) 244-8700
Entity
Organization
Contact information
Practice address
888 W BIG BEAVER RD, SUITE 309, TROY, MI 48084-4736
(248) 244-8700
(248) 244-8747
Mailing address
PO BOX 99160, TROY, MI 48099-9160
(248) 244-8700
(248) 244-8747
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
SC057395
MI
208VP0000X
Pain Medicine Physician
Primary
SC057395
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0806335011
BCBS
MI
05
—
3510124
—
MI
Enumeration date
12/06/2006
Last updated
01/20/2009
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