Organization
PAIN MANAGEMENT GROUP PLLC
Active
Parent organization
PAIN MANAGEMENT GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAIN MANAGEMENT GROUP LLC
Authorized official
BRADLEY R HECKER (CFO)
(614) 572-9020
Entity
Organization
Contact information
Practice address
229 W. MAIN CROSS ST, STE 58, FINDLAY, OH 45840
(419) 721-6358
(800) 261-0301
Mailing address
PO BOX 33791, DETROIT, MI 48232-3781
(419) 721-6358
(800) 261-0301
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780071167
—
MI
Enumeration date
04/23/2015
Last updated
09/12/2022
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