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Organization

MICHIGAN PAIN MANAGEMENT CONSULTANTS, PC NAAPN

Active
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Organization

MICHIGAN PAIN MANAGEMENT CONSULTANTS, PC NAAPN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINIC LAGO JR. M.D. (DIRECTOR)
(248) 849-1257
Entity
Organization

Contact information

Practice address
47601 GRAND RIVER AVE, STE B224, NOVI, MI 48374-1233
(248) 849-1257
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
08/04/2006
Last updated
09/19/2007
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