Organization
PAIN SPECIALIST OF MICHIGAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMEAN FREAS DO (CEO)
(410) 571-2946
Entity
Organization
Contact information
Practice address
39475 LEWIS DR, SUITE 200, NOVI, MI 48377
(410) 571-2946
Mailing address
201 DEFENSE HWY, SUITE 205, ANNAPOLIS, MD 21401-8943
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
09/04/2018
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