# SPINE & ORTHOPEDIC MEDICINE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427284983
- **Authorized official:** BRAD S SANDLER D (PHYSICIAN/OWNER)
- **Authorized official phone:** (574) 255-7246

## Contact information

- **Practice address:** 51050 BITTERSWEET RD, SUITE B, GRANGER, IN 46530-7879
- **Practice address phone:** (574) 255-7246
- **Practice address fax:** (574) 243-9060
- **Mailing address:** 51050 BITTERSWEET RD, SUITE B, GRANGER, IN 46530-7879
- **Mailing address phone:** (574) 255-7246
- **Mailing address fax:** (574) 243-9060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | IN02001668A | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | IN02001668A | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | IN02001668A | IN | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/10/2009
- **Last updated:** 10/13/2022
