Organization
PISZEL PAIN MANAGEMENT SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A PISZEL MD (OWNER)
(440) 361-4610
Entity
Organization
Contact information
Practice address
50 E MAIN ST, GENEVA, OH 44041-1347
(440) 361-4610
(440) 446-0203
Mailing address
50 E MAIN ST, GENEVA, OH 44041-1347
(440) 361-4610
(440) 466-0203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1938092
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3152154
—
OH
Enumeration date
11/09/2010
Last updated
09/29/2011
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