Individual
MICHAEL OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
499 S COURT ST, CROWN POINT, IN 46307-4335
(219) 663-4888
(219) 663-4877
Mailing address
PO BOX 849, CROWN POINT, IN 46308-0849
(219) 663-4888
(219) 663-4877
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01042985
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84105
ANTHEM
—
01
—
IN2007005
MEDICARE PTAN
IN
Enumeration date
01/18/2007
Last updated
02/22/2015
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