Organization
UNTIED PAIN THERAPIES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ROSENBERG MD (AUTHORIZED OFFICIAL)
(734) 353-4108
Entity
Organization
Contact information
Practice address
6620 HIGHLAND RD, SUITE 102, WATERFORD, MI 48327-1682
(248) 461-6862
Mailing address
PO BOX 30516, DEPT 7034, LANSING, MI 48909-8106
(734) 526-8860
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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