Michigan Pain Consultants Pc in Grand Rapids - Pain Medicine
Michigan Pain Consultants Pc - NPI 1467418574
Michigan Pain Consultants Pc is a Pain Medicine in Grand Rapids, Michigan. Michigan Pain Consultants Pc practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Michigan Pain Consultants Pc is 1467418574. The last update date is 2021-03-30.
Michigan Pain Consultants Pc's current location address is 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan. You can contact this provider via phone number 6169402662 and fax number 6169401965. The mailing address for Michigan Pain Consultants Pc is 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michigan Pain Consultants Pc |
|---|---|
| Address | 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan |
| Phone Number | 6169402662 |
| Fax Number | 6169401965 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gostine Louis Mark |
| Credentials | MD |
| Telephone Number | 6162851377 |
NPI Number Detail
| NPI Number | 1467418574 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2021-03-30 |
Provider Mailing Address Detail
| Address | 5555 Glenwood Hills Pkwy Se Ste 2 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495122091 |
| Phone Number | 6169402662 |
| Fax Number | 6169401965 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
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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 |
|---|---|---|---|
| 700D160000 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Michigan Pain Consultants Pc's unique identification number?
The Michigan Pain Consultants Pc has been assigned the NPI (National Provider Identifier) Number 1467418574 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Michigan Pain Consultants Pc's physical address?
The Michigan Pain Consultants Pc is physically located at 5555 Glenwood Hills Pkwy Se Ste 2, in the city of Grand Rapids, MI, with the postal code 495122091.
What is the area of specialization for Michigan Pain Consultants Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michigan Pain Consultants Pc is Pain Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Lp2900X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467418574 to Michigan Pain Consultants Pc?
The Centers for Medicare & Medicaid Services originally issued the 1467418574 to Michigan Pain Consultants Pc on 2006-04-26.
As of what date was the information pertaining to Michigan Pain Consultants Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michigan Pain Consultants Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-30.