GREAT LAKES PAIN MANAGEMENT MD, PC
NPI 1356419543
Pain Medicine - Interventional Pain Medicine in Wyandotte, MI
About Great Lakes Pain Management Md, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES PAIN MANAGEMENT MD, PC (NPI 1356419543) is a healthcare organization registered as an interventional pain medicine in Wyandotte, Michigan and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Mohamed L Othman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2019550
Great Lakes Pain Management Center · Wyandotte, MIFrequently Asked Questions
The NPI number assigned to this healthcare provider is 1356419543, enumerated as an "organization" on December 04, 2006.
The provider is located at 1404 EUREKA AVE WYANDOTTE, MI 48192 and the phone number is (734) 282-4200.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
