| NPI | 1558903294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAPENFUSE Member 989-792-4090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |