Great Lakes Pulmonary & Sleep Associates, Inc

NPI 1003096504 - Internal Medicine - 207RC0200X

NPI Details
NPI 1003096504
Enumeration Date 11/13/2007
Last Updated 07/10/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OLUSEGUN OLUSEGUN
Position PHYSICIAN/OWNER
Phone (219) 882-0255
Fax (219) 738-6714
Practice Location
650 GRANT ST STE 7
GARY IN, 46404-1551, US
Phone (219) 882-0255
Fax (219) 738-6714
Business Location
PO BOX 10068
MERRILLVILLE IN, 46411-0068, US
Phone (219) 882-0255
Fax (219) 738-6714
Toxanomy
Taxonomy Code 207RC0200X
License State Indiana
License Number 01064140
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According to our database, Great Lakes Pulmonary & Sleep Associates, Inc NPI is 1003096504, taxonomy code is 207RC0200X and license number is 01064140, license state is located at Indiana. Great Lakes Pulmonary & Sleep Associates, Inc physically located at 650 Grant St Ste 7, Gary IN, 46404-1551. NPI Number 1033115704 has the healthcare provider type.

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1003096504 NPI number is provided on an as is basis without warranty of any kind. 1003096504 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Pulmonary & Sleep Associates, Inc are for informational purposes only.