| NPI | 1982431268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROBERT MANEES Owner 313-515-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-11-06 |