Organization
MICHIGAN PAIN SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD WASHABAUGH III MD (PHYSICIAN)
(734) 373-7246
Entity
Organization
Contact information
Practice address
710 AVIS DR STE 200, ANN ARBOR, MI 48108-9649
(734) 373-7246
(734) 375-6585
Mailing address
710 AVIS DR STE 200, ANN ARBOR, MI 48108-9649
(734) 373-7246
(734) 375-6585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050H112170
BCBS-MI GROUP NO
MI
01
—
202036000
USDOL GROUP NO
MI
Enumeration date
12/12/2006
Last updated
10/21/2025
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