NPI 1295957959

Woodland Pain Center

Organisation Specialist Michigan City, IN

Practice location

Address: 8865 W 400 N STE. 125, Michigan City, IN 46360-9222
Phone: (219) 878-9488
Fax: (219) 878-9788

Authorised official

Name: David Calvert Miller
Title: Owner
Phone: (219) 878-9488

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 01035762 (IN)

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Registry record

NPI: 1295957959
Entity type: Organization
NPI issued: 3 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.