OrganizationActive
Michiana Spine, Sports & Occupational Rehab, PC
NPI 1386902013 · Interventional Pain Medicine Physician · Niles, MI
Provider details
- NPI number
- 1386902013
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Drew, Owner(574) 252-4150
- License
- 4301070312 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
24 N Saint Joseph Ave Ste B
Niles, MI 49120-2263
Phone: (574) 252-4150
Fax: (574) 252-4159
Approximate (ZIP-level) locationGet directions
Mailing address
3740 Edison Lakes Pkwy
Mishawaka, IN 46545-3474
Registry dates
- Enumerated
- 2012-05-01
- Last updated
- 2022-11-03
- Certified
- 2022-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.