Organization
MICHIGAN PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C PADULA DO (PRESIDENT)
(248) 632-8938
Entity
Organization
Contact information
Practice address
30301 WOODWARD AVE, SUITE 240, ROYAL OAK, MI 48073-0979
(248) 632-8938
(248) 291-5333
Mailing address
30301 WOODWARD AVE, SUITE 240, ROYAL OAK, MI 48073-0979
(248) 632-8938
(248) 291-5333
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
5101020822
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101020822
MEDICAL LICENSE
MI
Enumeration date
04/21/2014
Last updated
04/21/2014
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