# PAIN MANAGEMENT GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063831303
- **Authorized official:** BRADLEY R HECKER (CFO)
- **Authorized official phone:** (330) 438-6352

## Contact information

- **Practice address:** 229 W. MAIN CROSS ST, STE 58, FINDLAY, OH 45840
- **Practice address phone:** (419) 721-6358
- **Practice address fax:** (800) 261-0301
- **Mailing address:** PO BOX 33792, DETROIT, MI 48232-3781
- **Mailing address phone:** (800) 514-4390
- **Mailing address fax:** (440) 808-3675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 09/12/2022