Organization
NORTHERN MICHIGAN PAIN SPECIALISTS PC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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