Organization
MICHIANA PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN L SZYNAL M.D. (OWNER)
(574) 264-7085
Entity
Organization
Contact information
Practice address
1510 OSOLO RD, ELKHART, IN 46514-4122
(574) 534-4648
Mailing address
1615 WINSTED DR, SUITE 3, GOSHEN, IN 46526-4696
(574) 266-7747
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01041839A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200022590A
—
IN
Enumeration date
06/04/2007
Last updated
08/20/2008
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