# PROFESSIONAL PAIN MANAGEMENT PC

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

## Provider details

- **NPI number:** 1225212996
- **Authorized official:** DR. DONALD C SCHANZ DO (OWNER)
- **Authorized official phone:** (616) 808-3500

## Contact information

- **Practice address:** 3355 EAGLE PARK DR NE, SUITE 106, GRAND RAPIDS, MI 49525-7004
- **Practice address phone:** (616) 808-3500
- **Practice address fax:** (616) 808-3740
- **Mailing address:** 3355 EAGLE PARK DR NE, SUITE 106, GRAND RAPIDS, MI 49525-7004
- **Mailing address phone:** (616) 808-3500
- **Mailing address fax:** (616) 808-3740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 5101011044 | MI | Yes |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 03/04/2008