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General NPI Number Information
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NPI Number | 1588893267
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Entity Type | Organization
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Legal Business Name | INSTITUTE OF NEUROMUSCULAR MEDICINE AND REHABILITATION
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 02/06/2010
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Provider Practice Location Address
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Address Line | 65 S MAIN ST SUITE C
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City | ROCKFORD
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State | MI
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Zip | 49341-1286
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Country | US
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Telephone | 616-866-8084
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Fax | 616-866-8085
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Provider Business Mailing Address
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Address Line | 65 S MAIN ST SUITE C
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City | ROCKFORD
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State | MI
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Zip | 49341-1286
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Country | US
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Telephone | 616-866-8084
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Fax | 616-866-8085
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JOHN S DEW
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Credential | D.O.
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Telephone | 616-866-8084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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