MICHIANA SPINE SPORTS & OCCUPATIONAL REHAB PC NPI 1386902013

NPI Information

MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC is an interventional pain medicine pain medicine in Niles, MI. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC NPI is 1386902013. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24 N SAINT JOSEPH AVE STE B
NILES, MI
ZIP 49120-263
Phone: (574) 252-4150
Fax: (574) 252-4159

The provider's authorized official is Kevin G Drew .
The authorized official title is Owner and has the following contact phone number (574) 252-4150.

The enumeration date for this NPI number is 5/1/2012 and was last updated on 11/3/2022.

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:

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