| NPI | 1811057490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WASHABAUGH Physician 734-547-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-06-15 |