Great Lakes Pain Management Md, PC

NPI #1356419543 in Wyandotte, Michigan

Provider Information

NPI Number: 1356419543
Entity Type: Organization
Organization Name: Great Lakes Pain Management Md, PC
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Dec 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1404 EUREKA AVE
City: Wyandotte
State: Michigan
ZIP Code: 48192
Phone: (734) 282-4200

Authorized Official

Name: MOHAMED L OTHMAN, M.D.
Title: PRESIDENT
Phone: (734) 282-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Fadi H Delly, M.D.	Pain Medicine - Interventional Pain Medicine	Wyandotte	AI Deep Dive
DR. Michael Duane Papenfuse, D.O.	Pain Medicine - Interventional Pain Medicine	Saginaw	AI Deep Dive
DR. Sean M Conroy, MD	Pain Medicine - Interventional Pain Medicine	Farmington Hills	AI Deep Dive
DR. Joel R Schechet, MD	Pain Medicine - Interventional Pain Medicine	Southfield	AI Deep Dive

Organizations

Provider Name	Specialty	City
Fadi Delly, MD PC	Pain Medicine - Interventional Pain Medicine	Wyandotte	AI Deep Dive

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