Interventional Pain Management, Ltd.

NPI #1033155080 in Saint John, Indiana

Provider Information

NPI Number: 1033155080
Entity Type: Organization
Organization Name: Interventional Pain Management, Ltd.
Primary Specialty: Specialist
Enumeration Date: Jun 20, 2006
Last Updated: Jan 19, 2016

Practice Location

Address: 10220 WICKER AVE
Address 2: SUITE 3
City: Saint John
State: Indiana
ZIP Code: 46373-9424
Phone: (219) 515-6943

Authorized Official

Name: PAUL C POLLACHEK, RN
Title: ADMINISTRATOR
Phone: (708) 474-7650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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