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Contact Information

PAIN SPECIALIST OF MICHIGAN, PLLC
39475 LEWIS DR
SUITE 200
NOVI, MI48377
 Phone: 410-571-2946
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for PAIN SPECIALIST OF MICHIGAN, PLLC

NPI # 1306297817
LBN Legal business name PAIN SPECIALIST OF MICHIGAN, PLLC
Authorized official DAMEAN FREAS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2016
Last updated 09/04/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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