INTERVENTIONAL SPINE & PAIN REHABILITATION CENTER INC NPI 1053596205

NPI Information

INTERVENTIONAL SPINE & PAIN REHABILITATION CENTER, INC is a pain medicine physical medicine rehabilitation in Mansfield, OH. The provider is 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. INTERVENTIONAL SPINE & PAIN REHABILITATION CENTER, INC NPI is 1053596205. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

165 N TRIMBLE RD
MANSFIELD, OH
ZIP 44906-630
Phone: (419) 522-1100
Fax: (419) 522-4118

The provider's authorized official is Michael F Stretanski .
The authorized official title is President and has the following contact phone number (419) 522-1100.

The CLIA number assigned to this NPI record is 36D2017658 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2008 and was last updated on 6/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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