Organization
SHADELAND ANESTHESIA & PAIN ASSOCIATES INC.
Active
Other names
Center for Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J KOWLOWITZ MD (OWNER)
(317) 706-7246
Entity
Organization
Contact information
Practice address
3738 LANDMARK DR STE A, LAFAYETTE, IN 47905-6655
(765) 807-2780
Mailing address
29943 NETWORK PL, CHICAGO, IL 60673-1299
(317) 706-3415
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
04/11/2023
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