Provider Demographics
NPI:1548880487
Name:COMMERCE SPORTS AND SPINE PLLC
Entity type:Organization
Organization Name:COMMERCE SPORTS AND SPINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARVINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:DHILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:616-485-0584
Mailing Address - Street 1:29877 TELEGRAPH RD STE 400
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-7661
Mailing Address - Country:US
Mailing Address - Phone:248-294-0539
Mailing Address - Fax:248-934-1390
Practice Address - Street 1:29877 TELEGRAPH RD STE 400
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-7661
Practice Address - Country:US
Practice Address - Phone:248-294-0539
Practice Address - Fax:248-934-1390
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMERCE SPORTS AND SPINE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty