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Organization
INTERVENTIONAL SPINE AND PAIN, P.C.
Active
Organization
INTERVENTIONAL SPINE AND PAIN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASVEER SINGH GREWAL M.D. (PRESIDENT)
(574) 304-1519
Entity
Organization
Contact information
Practice address
700 E BEARDSLEY AVE STE 4B, ELKHART, IN 46514-3303
(574) 304-1519
(574) 350-2441
Mailing address
700 E BEARDSLEY AVE STE 4B, ELKHART, IN 46514-3303
(574) 304-1519
(574) 350-2441
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200866150A
—
IN
Enumeration date
08/06/2007
Last updated
02/07/2022
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