Spinalcare Physical Medicine LLC

NPI #1942563259 in Avon, Indiana

Provider Information

NPI Number: 1942563259
Entity Type: Organization
Organization Name: Spinalcare Physical Medicine LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 21, 2012
Last Updated: Apr 26, 2017

Practice Location

Address: 114 N AVON AVE
City: Avon
State: Indiana
ZIP Code: 46123-8475
Phone: (317) 272-4100

Authorized Official

Name: DR. JOHN A DETTMER, D.C.
Title: OWNER
Phone: (317) 272-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Chiropractor	111N00000X	Primary

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