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. You can also correspond with Michiana Spine, Sports & Occupational Rehab, Pc through the mailing address at 3740 EDISON LAKES PKWY, MISHAWAKA, IN - 46545-3474 (mailing address contact number: 574-252-4150).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI5205 | 01 | RAILROAD MEDICARE | |
| 129646400 | 01 | DEPT OF LABORACS | |
| 200216220A | 05 | IN | |
| 25-0A110370 | 01 | MI | BCBSMI |
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