| Michigan Pain Management Specialists Pc | |
|
1200 E Michigan Ave Lower Level Lansing MI 48912-1800 | |
| (517) 364-5326 | |
| (517) 364-5335 |
| Full Name | Michigan Pain Management Specialists Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1200 E Michigan Ave, Lansing, Michigan |
| Authorized Official Name and Position | Camala Riessinger (PRESIDENT) |
| Authorized Official Contact | 5173645326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Pain Management Specialists Pc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Michigan Pain Management Specialists Pc 1200 E Michigan Ave Lower Level Lansing MI 48912-1800 Ph: (517) 364-5326 |
| NPI Number | 1215953815 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215953815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301007347 (Michigan) | Primary |
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