GREAT LAKES PAIN MANAGEMENT MD, PC is an interventional pain medicine pain medicine in Wyandotte, MI. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. GREAT LAKES PAIN MANAGEMENT MD, PC NPI is 1356419543. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1404 EUREKA AVE
WYANDOTTE, MI
ZIP 48192
Phone: (734) 282-4200
Fax: (734) 282-4210
The provider's authorized official is Mohamed L Othman .
The authorized official title is President and has the following contact phone number (734) 282-4200.
The CLIA number assigned to this NPI record is 23D2019550 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.