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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC

Active Organization

MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC is a Pain Medicine (PM&R) organization located in MISHAWAKA, Indiana. NPI 1912074659 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (PM&R) · MISHAWAKA, IN

Registration Details

NPI Number
1912074659
Provider Type
Organization
NPI Issued
Nov 29, 2006 (19.745449957051 yrs)
Last Updated
Nov 3, 2022
License
01042863 (IN)

Practice Information

Address
3740 EDISON LAKES PKWY
MISHAWAKA, IN, 465453474
Browse IN providers · Browse ZIP 46545
Phone
5742524150
Fax
5742524159
Primary Specialty
Pain Medicine (PM&R)
2081P2900X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.