Spinal Healthcare and Physical Medicine LLC

NPI #1437436045 in New Haven, Indiana

Provider Information

NPI Number: 1437436045
Entity Type: Organization
Organization Name: Spinal Healthcare and Physical Medicine LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 10, 2011
Last Updated: Nov 10, 2011

Practice Location

Address: 108 LANDIN RD
City: New Haven
State: Indiana
ZIP Code: 46774-1168
Phone: (260) 493-6565

Authorized Official

Name: DR. STEPHEN H GLASSLEY
Title: MANAGER
Phone: (260) 493-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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