Organization
COMPREHENSIVE CHRONIC PAIN MANAGEMENT PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAWFIQ E NAKHLEH D.O. (PRESIDENT)
(586) 286-0639
Entity
Organization
Contact information
Practice address
43171 DALCOMA DR, SUITE 3, CLINTON TOWNSHIP, MI 48038-6307
(586) 286-0639
(586) 286-0657
Mailing address
43171 DALCOMA DR, SUITE 3, CLINTON TOWNSHIP, MI 48038-6307
(586) 286-0639
(586) 286-0657
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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