| NPI | 1801660907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELONI WILLIAMS Practice Administrator 517-482-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2025-03-12 |