Organization
SPINAL HEALTHCARE AND PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN H GLASSLEY (MANAGER)
(260) 493-6565
Entity
Organization
Contact information
Practice address
108 LANDIN RD, NEW HAVEN, IN 46774-1168
(260) 493-6565
(260) 493-6567
Mailing address
108 LANDIN RD, NEW HAVEN, IN 46774-1168
(260) 493-6565
(260) 493-6567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01018040A
IN
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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