Organization
PAIN SPECIALIST OF MICHIGAN, PLLC
Active
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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