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NPI Code Detail

MEDICARE: STERLING HEIGHTS PAIN MANAGEMENT

MEDICARE: STERLING HEIGHTS PAIN MANAGEMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0014XInterventional Pain Medicine Physician5101020822MI

General Provider Information

NPI Number : 1578003307
Entity Type Code : Organization
Provider Name (Legal Business Name) : STERLING HEIGHTS PAIN MANAGEMENT
Provider Business Mailing Address
First Line : 2311 15 MILE RD
Second Line : SUITE B
City : STERLING HEIGHTS
State : MI
Zip : 48310-4842
Country : US
Telephone Number : 586-698-2290
Fax Number : 586-275-2274
Provider Business Practice Location Address
First Line : 2311 15 MILE RD
Second Line : SUITE B
City : STERLING HEIGHTS
State : MI
Zip : 48310-4842
Country : US
Telephone Number : 586-698-2290
Fax Number : 586-275-2274
Authorized Official
Title or Position : OWNER
Name : DR. JAMES PADULA
Credential : D.O
Telephone Number : 954-644-2880
Provider Enumeration Date : 02/27/2017
Last Update Date : 02/27/2017

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Directions to “STERLING HEIGHTS PAIN MANAGEMENT ” Practice Location

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