Great Lakes Pain Consult Pllc

NPI #1255370094 in Bay City, Michigan

Provider Information

NPI Number
1255370094
Entity Type
Organization
Organization Name
Great Lakes Pain Consult Pllc
Primary Specialty
Anesthesiology - Pain Medicine
Enumeration Date
Jun 6, 2006
Last Updated
Jun 19, 2014

Practice Location

Address
4121 SHRESTHA DR
ZIP Code
48706
Phone
(989) 686-6900

Authorized Official

Name
THERON HUGH GROVER, MD
Title
PRESIDENT
Phone
(989) 686-6911

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Pain MedicinePain Medicine

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