Robert Kovachevich DO

NPI 1073587507 - Family Medicine - 207Q00000X

NPI Details
NPI 1073587507
Gender Male
Enumeration Date 02/13/2006
Last Updated 03/03/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
15900 W 101ST AVE
DYER IN, 46311, US
Phone (219) 365-6333
Fax (219) 365-8291
Business Location
15900 W 101ST AVE
MARCOTTE MEDICAL GROUP, SC
DYER IN, 46311, US
Phone (219) 365-6333
Fax (219) 365-6333
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 02002505A
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According to our database, Dr. Robert Kovachevich DO NPI is 1073587507, taxonomy code is 207Q00000X and license number is 02002505A, license state is located at Indiana. Robert Kovachevich DO physically located at 15900 W 101st Ave, Dyer IN, 46311. NPI Number Robert Kovachevich DO has the Individual type.

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1073587507 NPI number is provided on an as is basis without warranty of any kind. 1073587507 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Kovachevich DO are for informational purposes only.