Family Medicine Of Merrillville, Pc

NPI 1194772285 - Family Medicine - 207Q00000X

NPI Details
NPI 1194772285
Enumeration Date 05/27/2006
Last Updated 02/24/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name YASER YASER
Position OWNER
Phone (219) 736-0900
Fax (219) 769-5803
Practice Location
8300 BROADWAY
SUITE A-1
MERRILLVILLE IN, 46410-8602, US
Phone (219) 736-0900
Fax (219) 769-5803
Business Location
8300 BROADWAY
SUITE A-1
MERRILLVILLE IN, 46410-8602, US
Phone (219) 736-0900
Fax (219) 769-5803
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01058415
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According to our database, Family Medicine Of Merrillville, Pc NPI is 1194772285, taxonomy code is 207Q00000X and license number is 01058415, license state is located at Indiana. Family Medicine Of Merrillville, Pc physically located at 8300 Broadway, Merrillville IN, 46410-8602. NPI Number 1033115704 has the healthcare provider type.

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1194772285 NPI number is provided on an as is basis without warranty of any kind. 1194772285 is maintained by the National Plan & Provider Enumeration System. The contents of Family Medicine Of Merrillville, Pc are for informational purposes only.