Michiana Spine, Sports & Occupational Rehab, PC

NPI #1912074659 in Mishawaka, Indiana

Provider Information

NPI Number
1912074659
Entity Type
Organization
Organization Name
Michiana Spine, Sports & Occupational Rehab, PC
Primary Specialty
Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date
Nov 29, 2006
Last Updated
Nov 3, 2022

Practice Location

Address
3740 EDISON LAKES PKWY
State
Indiana
ZIP Code
46545-3474
Phone
(574) 252-4150

Authorized Official

Name
DR. KEVIN GENE DREW, M.D.
Title
PRESIDENT
Phone
(574) 252-4150

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine

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