# MATRIX PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1376706085
- **Authorized official:** NANCY K KLEIN (BILLING COORDINATOR)
- **Authorized official phone:** (989) 792-4090

## Contact information

- **Practice address:** 4450 FASHION SQUARE BLVD, SAGINAW, MI 48603-1251
- **Practice address phone:** (989) 792-4090
- **Practice address fax:** (989) 792-4094
- **Mailing address:** 4450 FASHION SQUARE BLVD, SAGINAW, MI 48603-1251
- **Mailing address phone:** (989) 792-4090
- **Mailing address fax:** (989) 792-4094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 07/03/2008