| NPI | 1982062097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D PAPENFUSE Owner 989-792-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI E3536C) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI E3536C) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2022-08-17 |