Michiana Spine, Sports & Occupational Rehab, PC
Michiana Spine, Sports & Occupational Rehab, PC is an Interventional Pain Medicine Physician in Saint Joseph, Michigan. Licensed in Michigan. Registered with an NPI since 2012.
- Licensed in
- MI
- In the registry since
- 2012
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2500 Niles Rd Ste 3Saint Joseph, MI 49085-3225
Phone: (574) 252-4150
Fax: (574) 252-4159
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X · Licence 4301070312 (MI) |
|---|
Record details
| NPI number | 1407115884 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Drew — Owner · (574) 252-4150 |
| NPI enumerated | May 7, 2012 |
| Last updated in NPPES | November 3, 2022 |
| Certification date | November 3, 2022 |
| Mailing address | 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3474 |