Organization
NEURO PAIN CONSULTANTS PC
Active
Other names
Pain Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA RAYMOND (CREDENTIALING/BILLING SPECIALIST)
(248) 605-7331
Entity
Organization
Contact information
Practice address
799 DENISON CT, BLOOMFIELD HILLS, MI 48302-0053
(248) 751-7246
(248) 418-2311
Mailing address
799 DENISON CT, BLOOMFIELD HILLS, MI 48302-0053
(248) 751-7246
(248) 418-2311
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301058094
MI
207L00000X
Anesthesiology Physician
4301063268
MI
207L00000X
Anesthesiology Physician
4301072377
MI
207L00000X
Anesthesiology Physician
Primary
4301087884
MI
207L00000X
Anesthesiology Physician
5101016093
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700F318300
BCBS OF MICHIGAN
MI
Enumeration date
02/21/2012
Last updated
02/21/2012
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