Provider profile · NPI 1659722882

Advanced Spine And Pain Pllc

Anesthesiology, Pain Medicine · Southfield, MI · NPI 1659722882 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Anesthesiology, Pain Medicine

Enumerated

Jun 29, 2016

License(s)

4301051183 (MI)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION22255 GREENFIELD RD SUITE 500Southfield, MI 48075-3710214-378-4656
MAILINGPO BOX 674074 Dallas, TX 75267-4074214-378-4656

View on NPPES registry ↗

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