OrganizationActive
Michigan Pain&spine Clinic PLLC
NPI 1194180901 · Pain Clinic/Center · Detroit, MI
Provider details
- NPI number
- 1194180901
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sruthi Kondur, President(313) 495-7200
- License
- 4301086330 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4201 Saint Antoine St
Suite 6b, University Health Center
Detroit, MI 48201-2153
Phone: (313) 495-7200
Fax: (313) 495-7104
Approximate (ZIP-level) locationGet directions
Mailing address
4201 Saint Antoine St
Detroit, MI 48201-2153
Registry dates
- Enumerated
- 2015-12-21
- Last updated
- 2015-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.