Great Lakes Pain Consult Pllc in Bay City - Pain Medicine
Great Lakes Pain Consult Pllc - NPI 1255370094
Great Lakes Pain Consult Pllc is a Pain Medicine in Bay City, Michigan. Great Lakes Pain Consult Pllc practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Great Lakes Pain Consult Pllc is 1255370094. The last update date is 2014-06-19.
Great Lakes Pain Consult Pllc's current location address is 4121 Shrestha Dr, Bay City, Michigan. You can contact this provider via phone number 9896866900 and fax number 9896866911. The mailing address for Great Lakes Pain Consult Pllc is 4121 Shrestha Dr, Bay City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Pain Consult Pllc |
|---|---|
| Address | 4121 Shrestha Dr, Bay City, Michigan |
| Phone Number | 9896866900 |
| Fax Number | 9896866911 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Grover Hugh Theron |
| Credentials | MD |
| Telephone Number | 9896866911 |
NPI Number Detail
| NPI Number | 1255370094 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2014-06-19 |
Provider Mailing Address Detail
| Address | 4121 Shrestha Dr |
|---|---|
| City | Bay City |
| State | Michigan (MI) |
| Post Code | 48706 |
| Phone Number | 9896866900 |
| Fax Number | 9896866911 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
|
Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 050Z901090 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Great Lakes Pain Consult Pllc by the Centers for Medicare & Medicaid Services?
The Great Lakes Pain Consult Pllc has been issued the NPI (National Provider Identifier) 1255370094. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Great Lakes Pain Consult Pllc located?
The Great Lakes Pain Consult Pllc is located at 4121 Shrestha Dr, Bay City, MI 48706.
What is Great Lakes Pain Consult Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Great Lakes Pain Consult Pllc is Pain Medicine, and the corresponding taxonomy classification code for this specialized field is 207Lp2900X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255370094 to Great Lakes Pain Consult Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1255370094 to Great Lakes Pain Consult Pllc on 2006-06-06.
As of what date were the details related to Great Lakes Pain Consult Pllc most recently updated or revised?
The information pertaining to Great Lakes Pain Consult Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2014-06-19.
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