Organization
PAIN MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA RENE GNAS D.O (MEDICAL DIRECTOR)
(586) 697-2678
Entity
Organization
Contact information
Practice address
27472 SCHONEHERR, #130, WARREN, MI 48088
(586) 697-2678
(586) 540-0017
Mailing address
27472 SCHONEHERR, #130, WARREN, MI 48088
(586) 697-2678
(586) 540-0017
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101013946
MI
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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