Comprehensive Chronic Pain Management Plc
Pain Medicine, Interventional Pain Medicine in Clinton Township, MI. Organization (NPI-2).
NPI number1366713786
StatusActive
Last updated in NPPESJan 17, 2012
Details
- NPI
- 1366713786
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Chronic Pain Management Plc
- Organization subpart
- No
- Enumeration date
- Jan 17, 2012
- Last updated
- Jan 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | – | – | |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 2084P2900X | Psychiatry & Neurology, Pain Medicine | – | – |
Practice location
43171 Dalcoma DrSuite 3
Clinton Township, MI 48038-6307
Phone 586-286-0639 · Fax 586-286-0657
Mailing address
43171 Dalcoma DrSuite 3
Clinton Township, MI 48038-6307
Phone 586-286-0639 · Fax 586-286-0657
Authorized official
Tawfiq E Nakhleh
President
5862860639
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