Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Michigan Spine and Sports Management PC

Organization Chiropractor · NPI 1790253417

Michigan Spine and Sports Management PC provides Chiropractor services in Southfield, Michigan. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24681 Northwestern Hwy Ste 103
Southfield, MI 48075-2317
Phone: (248) 809-9286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1790253417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Haroun Fetteh — President · (313) 790-3998
NPI enumeratedNovember 12, 2018
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020
Mailing addressPo Box 7028, Dearborn, MI 48121-7028

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