NPI | 1427284983 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD S SANDLER Physician/Owner 574-255-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IN02001668A) |
Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN IN02001668A) |
208VP0014X Pain Medicine Interventional Pain Medicine | |
Enumeration Date | 2009-06-10 |
Last Update Date | 2022-10-13 |