# UNIVERSITY PAIN CLINIC ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1598138661
- **Authorized official:** DR. SAMIR F FULEIHAN MD (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (313) 745-1293

## Contact information

- **Practice address:** 4160 JOHN R ST, SUITE 522, DETROIT, MI 48201-2020
- **Practice address phone:** (313) 745-1293
- **Mailing address:** 255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
- **Mailing address phone:** (800) 242-1131
- **Mailing address fax:** (517) 787-4146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2015
- **Last updated:** 11/11/2015