| NPI | 1801209549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D PAPENFUSE Owner 989-792-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI E3536C) |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2022-08-16 |