| NPI | 1356680912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYANT JAGANNATHAN President 248-792-6527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2023-07-28 |