# PAIN MANAGEMENT CENTER

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

## Provider details

- **NPI number:** 1225266075
- **Authorized official:** DR. LISA RENE GNAS D.O (MEDICAL DIRECTOR)
- **Authorized official phone:** (586) 697-2678

## Contact information

- **Practice address:** 27472 SCHONEHERR, \#130, WARREN, MI 48088
- **Practice address phone:** (586) 697-2678
- **Practice address fax:** (586) 540-0017
- **Mailing address:** 27472 SCHONEHERR, \#130, WARREN, MI 48088
- **Mailing address phone:** (586) 697-2678
- **Mailing address fax:** (586) 540-0017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5101013946 | MI | Yes |

## Other

- **Enumeration date:** 06/30/2009
- **Last updated:** 06/30/2009