Organization · Type 2 NPI

Michiana Spine, Sports & Occupational Rehab, PC

Interventional Pain Medicine Physician · Niles, MI

NPI number 1386902013 Active

Practice location

24 N Saint Joseph Ave Ste B
Niles, MI 49120-2263

Fax (574) 252-4159

Mailing address

3740 Edison Lakes Pkwy
Mishawaka, IN 46545-3474

Specialties and licenses

TaxonomyCodeLicense
Interventional Pain Medicine Physician Primary 208VP0014X4301070312 (MI)

Interventional Pain Medicine Physician: 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.

About NPI 1386902013

Michiana Spine, Sports & Occupational Rehab, PC's National Provider Identifier is 1386902013, issued on May 1, 2012. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Niles, MI. The record was last updated on Nov 3, 2022.