Great Lakes Pain Management Md, Pc

LBN: Great Lakes Pain Management Md, Pc
Great Lakes Pain Management Md, Pc is an health care organization with primary practice located at 1404 Eureka Ave , Wyandotte MI 48192. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Great Lakes Pain Management Md, Pc can be contacted via phone (734) 282-4200, or through Othman, Mohamed L via phone (734) 282-4200.

Contact Information

Primary practice address
1404 Eureka Ave Wyandotte MI 48192
Phone: (734) 282-4200
Fax: (734) 282-4210
Website:
Map and Directions
Authorized official contact:
Name: Othman, Mohamed L Doctor of Medicine (MD)
Phone: (734) 282-4200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1356419543
LBN Legal business name Great Lakes Pain Management Md, Pc
DBA Doing business as
Authorized official Othman, Mohamed L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers