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Organization
ST CLAIR PAIN CONSULTANTS PC
Active
Organization
ST CLAIR PAIN CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G GHANEM M.D. (PRESIDENT)
(313) 580-0015
Entity
Organization
Contact information
Practice address
29751 LITTLE MACK AVE, SUITE A, ROSEVILLE, MI 48066-6503
(313) 580-0015
(313) 884-6313
Mailing address
432 S WASHINGTON AVE, UNIT 1101, ROYAL OAK, MI 48067-3854
(313) 580-0015
(313) 884-6313
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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