Basic Information
| Provider Information | |||||||||
| NPI: | 1801209549 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COMPREHENSIVE PAIN SPECIALISTS, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4450 FASHION SQUARE BLVD | ||||||||
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| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486031251 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9892491922 | ||||||||
| FaxNumber: | 9892490227 | ||||||||
| Practice Location | |||||||||
| Address1: | 3400 FLECKENSTEIN RD | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485073042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8108777370 | ||||||||
| FaxNumber: | 8102309338 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2014 | ||||||||
| LastUpdateDate: | 08/16/2022 | ||||||||
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| AuthorizedOfficialLastName: | PAPENFUSE | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9897924090 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
| NPICertificationDate: | 08/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208VP0014X | E3536C | MI | N | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | 261QP2000X | N | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | 208VP0014X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.