Provider Demographics
NPI:1366068850
Name:JOINT AND SPINE SPECIALIST, PLLC
Entity type:Organization
Organization Name:JOINT AND SPINE SPECIALIST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RUEFIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-237-1373
Mailing Address - Street 1:PO BOX 70566
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-0012
Mailing Address - Country:US
Mailing Address - Phone:248-237-1373
Mailing Address - Fax:248-436-4110
Practice Address - Street 1:29829 TELEGRAPH RD STE 200
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-7656
Practice Address - Country:US
Practice Address - Phone:248-237-1373
Practice Address - Fax:248-436-4110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty