Organization
PAIN SPECIALIST OF MICHIGAN, PLLC
Active
Other names
Kure Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
BRITNI CULLEN (VP DIRECTOR OF OPERATIONS)
(443) 837-9913
Entity
Organization
Contact information
Practice address
12660 10 MILE RD, SOUTH LYON, MI 48178-9141
(248) 697-2880
(248) 856-2544
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(410) 571-2946
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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