| NPI | 1487796504 |
|---|---|
| Doing Business As | MICHIGAN SPINE AND PAIN |
| Entity Type | Organization |
| Authorized Contact | MARVIN N. BLEIBERG President/Owner 989-772-1609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI MB064477) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI CC087757) |
| 111NR0400X Chiropractor Rehabilitation (Licence: MI MB009073) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI MB064477) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-10-02 |