Michiana Physical Medicine

NPI #1629270343 in Ligonier, Indiana

Provider Information

NPI Number: 1629270343
Entity Type: Organization
Organization Name: Michiana Physical Medicine
Primary Specialty: Specialist
Enumeration Date: Jun 4, 2007
Last Updated: Jun 17, 2008

Practice Location

Address: 254 W US 6
City: Ligonier
State: Indiana
ZIP Code: 46767
Phone: (260) 894-9909

Authorized Official

Name: MRS. JEAN K SZYNAL, MD
Title: OWNER
Phone: (574) 264-7085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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