Organization
NORTHERN MICHIGAN PAIN SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LEE FUCHS M.D. (OWNER/PRESIDENT)
(231) 487-4650
Entity
Organization
Contact information
Practice address
1420 PLAZA DR., STE 2B, PETOSKEY, MI 49770-9421
(231) 487-4650
(231) 487-4613
Mailing address
1420 PLAZA DR., STE 2B, PETOSKEY, MI 49770-9421
(231) 487-4650
(231) 487-4613
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
5601003291
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4122280 TYPE 10
—
MI
Enumeration date
03/29/2007
Last updated
02/02/2009
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