| NPI | 1194905497 |
|---|---|
| Former Legal Business Name | NORTHWEST INDIANA SPINE CENTER, P.C. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY VILLANUEVA President/Owner 219-763-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002310A) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2008-06-19 |