Advanced Sports & Spine Mgmt

NPI #1114511425 in Oak Park, Michigan

Provider Information

NPI Number: 1114511425
Entity Type: Organization
Organization Name: Advanced Sports & Spine Mgmt
Primary Specialty: Chiropractor
Enumeration Date: Feb 26, 2021
Last Updated: Feb 26, 2021

Practice Location

Address: 23350 GREENFIELD RD STE 105
City: Oak Park
State: Michigan
ZIP Code: 48237-2496
Phone: (313) 790-3998

Authorized Official

Name: DR. HAROUN FETTEH, DC
Title: CHIROPRACTOR/OWNER
Phone: (313) 790-3998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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