| NPI | 1962650218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MADISON Pain Management Specialist 219-812-9158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: IN 036.066567) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |