Organization
PAIN AND REHABILITATIVE MEDICINE CENTER P C
Active
Organization
PAIN AND REHABILITATIVE MEDICINE CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN GWENETH LOCKHART M.D. (PRESIDENT)
(248) 539-8446
Entity
Organization
Contact information
Practice address
31800 NORTHWESTERN HWY, STE 120, FARMINGTON HILLS, MI 48334-1655
(248) 539-8446
(248) 539-8447
Mailing address
31800 NORTHWESTERN HWY, STE 120, FARMINGTON HILLS, MI 48334-1655
(248) 539-8446
(248) 539-8447
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2008
Last updated
12/16/2008
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