Organization
MICHIGAN PAIN MANAGEMENT SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMALA RIESSINGER PHD (PRESIDENT)
(517) 364-5326
Entity
Organization
Contact information
Practice address
1200 E MICHIGAN AVE, LOWER LEVEL, LANSING, MI 48912-1800
(517) 364-5326
(517) 364-5335
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007347
MI
Other
Enumeration date
07/15/2006
Last updated
07/29/2014
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