# FERNDALE PAIN SOLUTIONS PLLC

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

## Provider details

- **NPI number:** 1134512528
- **Authorized official:** DR. JEFFREY LEE MATFUS M.D. (OWNER)
- **Authorized official phone:** (248) 291-6873

## Contact information

- **Practice address:** 1200 W 9 MILE RD, FERNDALE, MI 48220-1299
- **Practice address phone:** (248) 291-6873
- **Practice address fax:** (248) 291-6882
- **Mailing address:** 1200 W 9 MILE RD, FERNDALE, MI 48220-1299
- **Mailing address phone:** (248) 291-6873
- **Mailing address fax:** (248) 291-6882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 03/10/2015
- **Last updated:** 03/10/2015