Organization
MIDWEST PAIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MADISON M.D. (PAIN MANAGEMENT SPECIALIST)
(219) 812-9158
Entity
Organization
Contact information
Practice address
907 WASHINGTON ST, MICHIGAN CITY, IN 46360-3517
(219) 812-9158
(219) 873-9196
Mailing address
907 WASHINGTON ST, MICHIGAN CITY, IN 46360-3517
(219) 812-9158
(219) 873-9196
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
036.066567
IN
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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