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NPI Code Detail

MEDICARE: DETROIT INJURY AND PAIN CENTERS , PLLC

MEDICARE: DETROIT INJURY AND PAIN CENTERS , 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
1111NN0400XNeurology Chiropractor2301007399MI

General Provider Information

NPI Number : 1982716676
Entity Type Code : Organization
Provider Name (Legal Business Name) : DETROIT INJURY AND PAIN CENTERS , PLLC
Provider Business Mailing Address
First Line : 7200 GRATIOT AVE
Second Line : DETROIT INJURY AND PAIN CENTERS, PLLC
City : DETROIT
State : MI
Zip : 48213-2816
Country : US
Telephone Number : 313-579-3472
Fax Number : 313-579-1388
Provider Business Practice Location Address
First Line : 7220 GRATIOT AVE
Second Line :
City : DETROIT
State : MI
Zip : 48213-2816
Country : US
Telephone Number : 313-579-3472
Fax Number : 313-579-1388
Authorized Official
Title or Position : CHIROPRACTIC PHYSICIAN
Name : DR. DEMERIUS L WARE
Credential : DC
Telephone Number : 313-579-3472
Provider Enumeration Date : 08/31/2006
Last Update Date : 01/28/2008

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Directions to “DETROIT INJURY AND PAIN CENTERS , PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.