Michigan Pain Management Consultants, PC Naapn
Anesthesiology in Novi, MI. Organization (NPI-2).
NPI number1104834084
StatusActive
Last updated in NPPESSep 19, 2007
Details
- NPI
- 1104834084
- Entity type
- Organization (NPI-2)
- Legal business name
- Michigan Pain Management Consultants, PC Naapn
- Organization subpart
- No
- Enumeration date
- Aug 4, 2006
- Last updated
- Sep 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
47601 Grand River AveSte B224
Novi, MI 48374-1233
Phone 248-849-1257
Mailing address
255 W Michigan AveJackson, MI 49201-2218
Phone 517-787-6440 · Fax 517-787-4146
Authorized official
Dominic Lago
Director
2488491257
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