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Michiana Physical Medicine
Specialist in Elkhart, Indiana
NPI 1144422924

Michiana Physical Medicine is a Specialist based in Goshen, IN. Michiana Physical Medicine practices in Elkhart, IN. The NPI Number for Michiana Physical Medicine is 1144422924 and holds a License No. 01041839A (Indiana).

The current practice location address for Michiana Physical Medicine is 1510 Osolo Rd, Elkhart, IN and can be reached out via phone at 574-534-4648. You can also correspond with Michiana Physical Medicine through the mailing address at 1615 WINSTED DR, GOSHEN, IN - 46526-4696 (mailing address contact number: 574-266-7747).

Location: 1510 Osolo Rd, Elkhart, IN, 46526-4696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144422924
Provider Name
Michiana Physical Medicine
Credential
Provider Entity Type
Organization
Address
1510 Osolo Rd, Elkhart, IN, 46526-4696
Phone Number
574-534-4648
Fax Number
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200022590A 05 IN
institution
Provider Business Practice Location Address Details
Address
1510 Osolo Rd
City
Elkhart
State
Indiana
Zip
46514-4122
Phone Number
574-534-4648
Fax Number
person
Provider Business Mailing Address Details
Address
1615 Winsted Dr
City
Goshen
State
Indiana
Zip
46526-4696
Phone Number
574-266-7747
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01041839A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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