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NPI Code Detail

MEDICARE: ACUPUNCTURE AND PAIN CLINIC CENTER PLLC

MEDICARE: ACUPUNCTURE AND PAIN CLINIC CENTER PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist5401000061MI

General Provider Information

NPI Number : 1386071231
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACUPUNCTURE AND PAIN CLINIC CENTER PLLC
Provider Business Mailing Address
First Line : 2608 WOODCREEK CT
Second Line :
City : CANTON
State : MI
Zip : 48188-2642
Country : US
Telephone Number : 313-312-7786
Fax Number : 313-584-0552
Provider Business Practice Location Address
First Line : 5141 OAKMAN BLVD
Second Line : SUITE D
City : DEARBORN
State : MI
Zip : 48126-3763
Country : US
Telephone Number : 313-312-7786
Fax Number : 313-584-0552
Authorized Official
Title or Position : OWNER
Name : MOSTAFA BELKHALFIA
Credential :
Telephone Number : 313-312-7786
Provider Enumeration Date : 10/07/2013
Last Update Date : 10/07/2013

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Directions to “ACUPUNCTURE AND PAIN CLINIC CENTER PLLC ” Practice Location

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