NPI 1336130863
Michigan Spine and Brain Surgeons, PLLC
Practice location
- Address
- 22250 Providence Dr Suite 601, Southfield, MI 48075-4825
- Phone
- (248) 569-7745
- Fax
- (248) 569-4539
Authorised official
- Name
- Teck Mun Soo
- Title
- President
- Phone
- (248) 569-7745
Registered specialties (2)
Neurological Surgery Physician
Primary
Orthopaedic Surgery of the Spine Physician
Registry record
- NPI
- 1336130863
- Entity type
- Organization
- NPI issued
- 3 Nov 2005
- Record last updated
- 14 Jul 2011
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.