Organization · Type 2 NPI
Vital Medical Group PC
Pain Clinic/Center · Pontiac, MI
NPI number
1316564560
Active
Practice location
35 S Johnson St Ste 1B
Pontiac, MI 48341-1660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurological Surgery Physician | 207T00000X | None listed |
| Neurology Physician | 2084N0400X | None listed |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | None listed |
| Pain Medicine Physician | 208VP0000X | None listed |
| Interventional Pain Medicine Physician | 208VP0014X | None listed |
| Pain Clinic/Center Primary | 261QP3300X | None listed |
Pain Clinic/Center: Definition to come...
Another provider at this address
About NPI 1316564560
Vital Medical Group PC's National Provider Identifier is 1316564560, issued on Jul 2, 2020. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Pontiac, MI. The record was last updated on Jul 2, 2020.