Organization
METROPOLITAN PAIN MANAGEMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER SMITH M.D. (PRESIDENT)
(734) 786-8014
Entity
Organization
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 982-5159
Mailing address
18181 OAKWOOD BLVD, SUITE 206, DEARBORN, MI 48124-5032
(313) 982-5159
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
5101009511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050H214430
BCBSM
MI
Enumeration date
09/20/2006
Last updated
04/14/2009
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