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General NPI Number Information
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NPI Number | 1811057490
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Entity Type | Organization
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Legal Business Name | MICHIGAN PAIN SPECIALISTS, PLLC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 710 AVIS DR STE 200
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City | ANN ARBOR
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State | MI
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Zip | 48108-9649
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Country | US
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Telephone | 734-373-7246
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Fax | 734-375-6585
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Provider Business Mailing Address
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Address Line | 710 AVIS DR STE 200
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City | ANN ARBOR
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State | MI
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Zip | 48108-9649
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Country | US
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Telephone | 734-373-7246
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Fax | 734-375-6585
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. EDWARD WASHABAUGH III
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Credential | MD
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Telephone | 734-373-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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