Organization
NORTHERN INDIANA REHABILITATION MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER L. YU M.D. (PRESIDENT AND MEDICAL DIRECTOR)
(574) 232-2222
Entity
Organization
Contact information
Practice address
206 E BARTLETT ST, SOUTH BEND, IN 46601-1016
(574) 232-2222
(574) 232-2224
Mailing address
206 E BARTLETT ST, SOUTH BEND, IN 46601-1016
(574) 232-2222
(574) 232-2224
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01036492
IN
2081P0004X
Spinal Cord Injury Medicine Physician
01036492
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
01036492
IN
Other
Enumeration date
07/02/2007
Last updated
07/27/2007
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