Organization
MICHIGAN PAIN MANAGEMENT CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. JOHN TAYLOR MD (AUTHORIZED REPRESENTATIVE)
(248) 849-3192
Entity
Organization
Contact information
Practice address
29877 TELEGRAPH RD, STE 200, SOUTHFIELD, MI 48034-1332
(248) 352-1890
Mailing address
255 W MICHIGAN AVE, P. O. BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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