Organization
THE PAIN CENTER USA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA BOTHRA MD (OWNER)
(586) 755-9855
Entity
Organization
Contact information
Practice address
27423 VAN DYKE AVE, WARREN, MI 48093-2867
(586) 755-9855
(586) 755-9880
Mailing address
27423 VAN DYKE AVE, WARREN, MI 48093-2867
(586) 755-9855
(586) 755-9880
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
4301033013
MI
Other
Enumeration date
03/07/2007
Last updated
08/28/2007
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