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Organization
NORTHERN INDIANA REHABILITATION MEDICINE, INC.
Active
Organization
NORTHERN INDIANA REHABILITATION MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER L. YU M.D. (PRESIDENT AND MEDICAL DIRECTOR)
(574) 232-2222
Entity
Organization
Contact information
Practice address
206 E BARTLETT ST, SOUTH BEND, IN 46601-1016
(574) 232-2222
(574) 232-2224
Mailing address
206 E BARTLETT ST, SOUTH BEND, IN 46601-1016
(574) 232-2222
(574) 232-2224
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01036492
IN
2081P0004X
Spinal Cord Injury Medicine Physician
01036492
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
01036492
IN
Other
Enumeration date
07/02/2007
Last updated
07/27/2007
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