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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