Organization
FW INTERVENTIONAL PAIN MANAGEMENT LLC
Active
Organization
FW INTERVENTIONAL PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL COZZI MD (SOLE MEMBER)
(260) 672-8979
Entity
Organization
Contact information
Practice address
2510 E DUPONT RD, SUITE 115, FORT WAYNE, IN 46825-1600
(260) 672-8979
Mailing address
2510 E DUPONT RD, SUITE 115, FORT WAYNE, IN 46825-1600
(260) 672-8979
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01045203A
IN
Other
Enumeration date
11/27/2013
Last updated
02/18/2014
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