Organization
DIAGNOSTIC PAIN AND REHAB MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN C OCONNOR DO (OWNER)
(989) 362-9137
Entity
Organization
Contact information
Practice address
110 BEECH ST, SUITE B, TAWAS CITY, MI 48763-8314
(989) 362-9137
(989) 391-9547
Mailing address
1701 LAKE LANSING RD, SUITE 100, LANSING, MI 48912-3798
(517) 485-0001
(517) 485-1138
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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