Healthcare Provider Details

I. General information

NPI: 1992118632
Provider Name (Legal Business Name): COMPREHENSIVE PAIN SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2014
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 TOWNE CENTRE RD SUITE 300
SAGINAW MI
48604-2841
US

IV. Provider business mailing address

4450 FASHION SQUARE BLVD
SAGINAW MI
48603-1251
US

V. Phone/Fax

Practice location:
  • Phone: 989-498-5100
  • Fax: 989-498-5122
Mailing address:
  • Phone: 989-249-1922
  • Fax: 989-249-0227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberE3536C
License Number StateMI

VIII. Authorized Official

Name: DR. MICHAEL D PAPENFUSE
Title or Position: OWNER
Credential: D.O.
Phone: 989-792-4090