Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michigan Spine and Sports Management PC

Organization Chiropractor · NPI 1790253417

Michigan Spine and Sports Management PC is a Chiropractor 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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