| NPI | 1053579912 |
|---|---|
| Doing Business As | MIDWEST SPINECARE |
| Entity Type | Organization |
| Authorized Contact | MARK K CHANG Medical Director 219-836-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036095817) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2015-01-12 |