Organization
NORTHVILLE PAIN SPECIALISTS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL FREYDL D.O. (PHYSICIAN / OWNER)
(248) 773-7964
Entity
Organization
Contact information
Practice address
215 E. MAIN STREET, SUITE 201, NORTHVILLE, MI 48167-1686
(248) 773-7964
(248) 773-7994
Mailing address
215 E. MAIN STREET, SUITE 201, NORTHVILLE, MI 48167-1686
(248) 773-7964
(248) 773-7994
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
5101015444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5822157
BCBSM
MI
Enumeration date
11/14/2011
Last updated
07/23/2012
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