Organization
PAIN MANAGEMENT AND REHAB CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUZAFFAR AWAN MD (CEO)
(313) 381-8860
Entity
Organization
Contact information
Practice address
640 3 MILE RD, GRAND RAPIDS, MI 49544-8209
(313) 381-8860
(313) 381-0721
Mailing address
640 3 MILE RD, NORTH WEST GRAND RAPIDS, MI 49544-8209
(313) 381-8860
(313) 381-0721
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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