Provider Demographics
NPI:1902459860
Name:COMPREHENSIVE CARE PAIN MANAGEMENT, P.C.
Entity Type:Organization
Organization Name:COMPREHENSIVE CARE PAIN MANAGEMENT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUNA
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:AFAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-843-4553
Mailing Address - Street 1:9001 15 MILE RD STE C
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-3621
Mailing Address - Country:US
Mailing Address - Phone:248-843-4553
Mailing Address - Fax:
Practice Address - Street 1:9001 15 MILE RD STE C
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-3621
Practice Address - Country:US
Practice Address - Phone:248-843-4553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain