Healthcare Provider Details

I. General information

NPI: 1902841620
Provider Name (Legal Business Name): MICHIGAN SPINE BRAIN AND SPINE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G3239 BEECHER RD
FLINT MI
48532-3616
US

IV. Provider business mailing address

1044 GILBERT ST
FLINT MI
48532-3527
US

V. Phone/Fax

Practice location:
  • Phone: 810-733-7560
  • Fax: 810-733-2880
Mailing address:
  • Phone: 810-733-7560
  • Fax: 810-733-2880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DEVINDER BHRANY
Title or Position: DR
Credential:
Phone: 810-732-9222