OrganizationActive
Advanced Spine and Pain PLLC
NPI 1659722882 · Pain Medicine (Anesthesiology) Physician · Southfield, MI
Provider details
- NPI number
- 1659722882
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hollie Seago, Revenue Cycle Manager(214) 378-4656
- License
- 4301051183 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
22255 Greenfield Rd
Suite 500
Southfield, MI 48075-3710
Phone: (214) 378-4656
Fax: (866) 375-8173
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 674074
Dallas, TX 75267-4074
Registry dates
- Enumerated
- 2016-06-29
- Last updated
- 2016-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.