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Organization

ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC

Active
Other names
Orthopedic & Sports Medicine Center
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN S. MCLAUGHLIN (CAO)
(574) 970-4455
Entity
Organization

Contact information

Practice address
200 E JACKSON BLVD STE 130, ELKHART, IN 46516-3513
(574) 264-0791
(574) 264-5183
Mailing address
2310 CALIFORNIA RD STE A, ELKHART, IN 46514-1228
(574) 206-1401
(574) 262-5183

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300026304
IN
Enumeration date
07/05/2019
Last updated
07/05/2019
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