NPI 1699520569
Holistic & Pain Medical Spa PLLC
Practice location
- Address
- 1190 E 12 Mile Rd STE 2, Madison Heights, MI 48071-2648
- Phone
- (248) 629-6242
- Mailing address
- PO Box 356, Southfield, MI 48037-0356
Authorised official
- Name
- William Gonte
- Title
- Owner
- Phone
- (248) 629-6242
Registered specialties
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Registry record
- NPI
- 1699520569
- Entity type
- Organization
- NPI issued
- 23 Apr 2024
- Record last updated
- 23 Apr 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.