Alison Petrovich MD

NPI 1588669188 - Internal Medicine - 207R00000X

NPI Details
NPI 1588669188
Gender Female
Enumeration Date 06/20/2005
Last Updated 05/02/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
11161 RANDOLPH ST
CROWN POINT IN, 46307-8564, US
Phone (219) 662-9424
Fax (219) 662-7465
Business Location
1040 SIERRA DR
SUITE 400
GREENWOOD IN, 46143-7241, US
Phone (317) 528-4284
Fax (317) 865-8355
Toxanomy
Taxonomy Code 207R00000X
License State Indiana
License Number 01054379
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According to our database, Alison Petrovich MD NPI is 1588669188, taxonomy code is 207R00000X and license number is 01054379, license state is located at Indiana. Alison Petrovich MD physically located at 11161 Randolph St, Crown Point IN, 46307-8564. NPI Number Alison Petrovich MD has the Individual type.

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1588669188 NPI number is provided on an as is basis without warranty of any kind. 1588669188 is maintained by the National Plan & Provider Enumeration System. The contents of Alison Petrovich MD are for informational purposes only.