Organization
MHNI PAIN MANAGEMENT, P.C.
Active
Other names
Lenawee Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MADDEN (ADMINISTRATOR)
(734) 677-6000
Entity
Organization
Contact information
Practice address
3120 PROFESSIONAL DRIVE, ANN ARBOR, MI 48104
(734) 677-6000
(734) 677-2422
Mailing address
3120 PROFESSIONAL DRIVE, ANN ARBOR, MI 48104
(734) 677-6000
(734) 677-2422
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301006998
MI
103T00000X
Psychologist
6301010686
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301085148
MI
2084N0400X
Neurology Physician
4301029842
MI
363A00000X
Physician Assistant
5601002855
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4758007
—
MI
Enumeration date
01/24/2007
Last updated
07/24/2013
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