Organization
NEUROPATHY AND PAIN CENTERS OF AMERICA HOLDING COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MARIE MOORE R.N. (PRESIDENT)
(586) 531-8882
Entity
Organization
Contact information
Practice address
300 W WASHINGTON AVE, STE. 250, JACKSON, MI 49201-2180
(586) 531-8882
(517) 676-9788
Mailing address
4350 DELL RD, STE. J, LANSING, MI 48911-8137
(586) 531-8882
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
4301100643
MI
Other
Enumeration date
06/13/2012
Last updated
07/28/2012
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