| NPI | 1083264162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAPENFUSE Member 989-792-4090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |