Organization
PAIN MANAGEMENT PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A VISHION DC (OWNER)
(314) 275-8737
Entity
Organization
Contact information
Practice address
1585 WOODLAKE DRIVE, SUITE 214, CHESTERFIELD, MO 63017-5740
(314) 205-8858
(314) 205-2113
Mailing address
PO BOX 798348, ST. LOUIS, MO 63179-8000
(314) 275-8737
(314) 205-1508
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558557959
—
MO
Enumeration date
09/19/2007
Last updated
11/29/2012
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