Organization
PAIN DOC ANESTHESIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EARL SHAIRD MD (MEDICAL DIRECTOR)
(269) 580-8011
Entity
Organization
Contact information
Practice address
4672 BECKLEY RD, BATTLE CREEK, MI 49015-7932
(269) 580-8011
(269) 580-8013
Mailing address
4672 BECKLEY RD, BATTLE CREEK, MI 49015-7932
(269) 580-8011
(269) 580-8013
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301060535
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050064125
RR MEDICARE
MI
01
—
0501316062
BCBS OF MICHIGAN
MI
01
—
335448249
CHAMPUS TRICARE
MI
05
—
3485077
—
MI
Enumeration date
03/16/2007
Last updated
12/27/2017
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