NPI 1164877692

Interventional Pain & Anesthesia Consultants PLLC

Organisation Pain Medicine (Anesthesiology) Physician Dearborn, MI

Practice location

Address: 20100 Outer Dr, Dearborn, MI 48124-2647
Phone: (734) 604-0017
Mailing address: 416 James Cir, Royal Oak, MI 48067-4545

Authorised official

Name: Bryant T Ittiara
Title: President
Phone: (734) 604-0017

Registered specialties

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 5101017919 (MI)

Other Anesthesiology providers in Michigan →

Registry record

NPI: 1164877692
Entity type: Organization
NPI issued: 3 May 2016
Record last updated: 16 Mar 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.