Organization
REHABILITATION & MUSCULOSKELETAL MEDICINE SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A. OWENS M.D. (PRESIDENT)
(219) 836-9024
Entity
Organization
Contact information
Practice address
9615 KEILMAN ST, SAINT JOHN, IN 46373-9406
(219) 365-2896
(219) 365-0036
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-9024
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01042895A
IN
Other
Enumeration date
05/12/2010
Last updated
09/20/2011
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