Organization
UNIVERSITY PAIN CLINIC ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR F FULEIHAN MD (AUTHORIZED REPRESENTATIVE)
(313) 745-1293
Entity
Organization
Contact information
Practice address
4160 JOHN R ST, SUITE 522, DETROIT, MI 48201-2020
(313) 745-1293
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(800) 242-1131
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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