# REHABILITATION & MUSCULOSKELETAL MEDICINE SPECIALIST, LLC

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

## Provider details

- **NPI number:** 1659699890
- **Authorized official:** MICHAEL A. OWENS M.D. (PRESIDENT)
- **Authorized official phone:** (219) 836-9024

## Contact information

- **Practice address:** 9615 KEILMAN ST, SAINT JOHN, IN 46373-9406
- **Practice address phone:** (219) 365-2896
- **Practice address fax:** (219) 365-0036
- **Mailing address:** 9201 CALUMET AVE, MUNSTER, IN 46321-2807
- **Mailing address phone:** (219) 836-9024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 01042895A | IN | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 09/20/2011