Indiana Pain and Spine Clinic Corporation
Indiana Pain and Spine Clinic Corporation provides Pain Medicine Physician services in Granger, Indiana. Licensed in Indiana. Registered with an NPI since 2008.
- Licensed in
- IN
- In the registry since
- 2008
Practice location Address checks out
6915 N Fir RdGranger, IN 46530-4754
Phone: (574) 234-2191
Fax: (574) 234-7720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine Physician (primary) | Taxonomy 208VP0000X · Licence 01059304A (IN) |
|---|
Record details
| NPI number | 1023278470 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amer Kazi — President/Owner · (574) 234-2191 |
| NPI enumerated | June 10, 2008 |
| Last updated in NPPES | February 25, 2020 |
| Certification date | February 25, 2020 |
| Mailing address | 6915 N Fir Rd, Granger, IN 46530-4754 |