| NPI | 1316564560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT ISSAC Owner 313-463-8676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 208VP0000X | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |