NPI 1013385046

Interventional Pain Center PLLC

Organisation Ambulatory Surgical Clinic/Center Warren, MI

Practice location

Address: 27423 van Dyke Ave, Warren, MI 48093-2867
Phone: (586) 757-4000
Fax: (586) 755-9880
Mailing address: 27423 van Dyke Ave Suite B, Warren, MI 48093-2867

Authorised official

Name: Rajendra Bothra
Title: Owner
Phone: (586) 757-4000

Registered specialties

Ambulatory Surgical Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QA1903X

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1013385046
Entity type: Organization
NPI issued: 8 Sep 2015
Record last updated: 20 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.