Organization
INSTITUTE OF NEUROMUSCULAR MEDICINE AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S DEW D.O. (PHYSICIAN/OWNER)
(616) 866-8084
Entity
Organization
Contact information
Practice address
65 S MAIN ST, SUITE C, ROCKFORD, MI 49341-1286
(616) 866-8084
(616) 866-8085
Mailing address
65 S MAIN ST, SUITE C, ROCKFORD, MI 49341-1286
(616) 866-8084
(616) 866-8085
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-5-41-0248-5
BCBS PIN
MI
05
—
1740244193
—
MI
Enumeration date
07/02/2009
Last updated
02/06/2010
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