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Organization

SPINE & ORTHOPEDIC MEDICINE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD S SANDLER D (PHYSICIAN/OWNER)
(574) 255-7246
Entity
Organization

Contact information

Practice address
51050 BITTERSWEET RD, SUITE B, GRANGER, IN 46530-7879
(574) 255-7246
(574) 243-9060
Mailing address
51050 BITTERSWEET RD, SUITE B, GRANGER, IN 46530-7879
(574) 255-7246
(574) 243-9060

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
IN02001668A
208VP0014X
Interventional Pain Medicine Physician
IN02001668A
IN
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
06/10/2009
Last updated
10/13/2022
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