Organization
EDUCARE INTERVENTIONAL PAIN & ANESTHESIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANIU EDU MD (OWNER)
(313) 932-1350
Entity
Organization
Contact information
Practice address
2041 FORT ST, LINCOLN PARK, MI 48146-2402
(313) 551-5501
Mailing address
2041 FORT ST, LINCOLN PARK, MI 48146-2402
(313) 551-5501
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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