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Organization
ADVANCED PAIN MANAGEMENT OF CARO PC
Active
Organization
ADVANCED PAIN MANAGEMENT OF CARO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DENOTTER (OWNER)
(248) 894-7024
Entity
Organization
Contact information
Practice address
1800 W CARO RD STE 12, CARO, MI 48723-8209
(989) 359-6939
Mailing address
1800 W CARO RD STE 12, CARO, MI 48723-8209
(248) 894-7024
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/03/2024
Last updated
06/03/2024
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