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Michiana Spine, Sports & Occupational Rehab, Pc
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Mishawaka, Indiana
NPI 1912074659

Michiana Spine, Sports & Occupational Rehab, Pc is a Pain Medicine (Physical Medicine & Rehabilitation) Physician based in Mishawaka, IN and is specialized in Pain Medicine. Michiana Spine, Sports & Occupational Rehab, Pc practices in Mishawaka, IN. The NPI Number for Michiana Spine, Sports & Occupational Rehab, Pc is 1912074659 and holds a License No. 01042863 (Indiana).

The current practice location address for Michiana Spine, Sports & Occupational Rehab, Pc is 3740 Edison Lakes Pkwy, Mishawaka, IN and can be reached out via phone at 574-252-4150 and via fax at 574-252-4159.

Location: 3740 Edison Lakes Pkwy, Mishawaka, IN, 46545-3474
institution
Provider Profile Details
NPI Number
1912074659
Provider Name
Michiana Spine, Sports & Occupational Rehab, Pc
Credential
Provider Entity Type
Organization
Address
3740 Edison Lakes Pkwy, Mishawaka, IN, 46545-3474
Phone Number
574-252-4150
Fax Number
574-252-4159
Provider Enumeration Date
11/29/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CI5205 01 RAILROAD MEDICARE
129646400 01 DEPT OF LABORACS
200216220A 05 IN
25-0A110370 01 MI BCBSMI
institution
Provider Business Practice Location Address Details
Address
3740 Edison Lakes Pkwy
City
State
Zip
46545-3474
Phone Number
574-252-4150
Fax Number
574-252-4159
person
Provider Business Mailing Address Details
Address
3740 Edison Lakes Pkwy
City
State
Zip
46545-3474
Phone Number
574-252-4150
Fax Number
574-252-4159
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Pain Medicine
Taxonomy
License No.
01042863 (Indiana)
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
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