Provider Demographics
NPI:1164025995
Name:SPINE SOLUTIONS PLLC
Entity Type:Organization
Organization Name:SPINE SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUNIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-689-0492
Mailing Address - Street 1:2721 TURTLE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0767
Mailing Address - Country:US
Mailing Address - Phone:586-459-5692
Mailing Address - Fax:586-459-5695
Practice Address - Street 1:27253 VAN DYKE AVE STE B
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2858
Practice Address - Country:US
Practice Address - Phone:586-459-5692
Practice Address - Fax:586-459-5695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty