Provider Services Network LLC
Provider Services Network LLC provides Pain Medicine Physician services in Farmington Hills, Michigan. Licensed in Michigan. Registered with an NPI since 2017.
- Licensed in
- MI
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
31500 W 13 Mile Rd Ste 106Farmington Hills, MI 48334-2172
Phone: (248) 220-0600
Fax: (248) 579-9096
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine Physician (primary) | Taxonomy 208VP0000X · Licence 4301080436 (MI) |
|---|
Record details
| NPI number | 1407385529 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mohammad Jaura — Owner · (248) 225-4492 |
| NPI enumerated | June 12, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 31500 W 13 Mile Rd Ste 106, Farmington Hills, MI 48334-2172 |