Organization · Type 2 NPI
Michiana Spine, Sports & Occupational Rehab, PC
Interventional Pain Medicine Physician · St. Joseph, MI
Practice location
2500 Niles Rd Ste 3
St. Joseph, MI 49085-3225
Fax (574) 252-4159
Mailing address
3740 Edison Lakes Pkwy
Mishawaka, IN 46545-3474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Interventional Pain Medicine Physician Primary | 208VP0014X | 4301070312 (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 1407115884
Michiana Spine, Sports & Occupational Rehab, PC's National Provider Identifier is 1407115884, issued on May 7, 2012. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in St. Joseph, MI. The record was last updated on Nov 3, 2022.