NPI 1255164984
St Mary Medical Center
Practice location
- Address
- 28091 Dequindre Rd STE 203, Madison Heights, MI 48071-3071
- Phone
- (248) 965-3243
Authorised official
- Name
- Abid Agha
- Title
- Owner
- Phone
- (248) 965-3243
Registered specialties
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Registry record
- NPI
- 1255164984
- Entity type
- Organization
- NPI issued
- 20 Aug 2024
- Record last updated
- 20 Aug 2024
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.