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Contact Information

GREAT LAKES PAIN CONSULT PLLC
4121 SHRESTHA DR
BAY CITY, MI48706
 Phone: 989-686-6900
 Fax: 989-686-6911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for GREAT LAKES PAIN CONSULT PLLC · (Female)

NPI # 1255370094
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2006
Last updated 06/19/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Other 050Z901090 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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