Organization
INTERVENTIONAL SPINE AND PAIN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASVEER SINGH GREWAL M.D. (PRESIDENT)
(574) 304-1519
Entity
Organization
Contact information
Practice address
700 E BEARDSLEY AVE STE 4B, ELKHART, IN 46514-3303
(574) 304-1519
(574) 350-2441
Mailing address
700 E BEARDSLEY AVE STE 4B, ELKHART, IN 46514-3303
(574) 304-1519
(574) 350-2441
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200866150A
—
IN
Enumeration date
08/06/2007
Last updated
02/07/2022
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