Tae'ni Chang-stroman M.d., P.c.

NPI 1255487138 - Pediatrics - 208000000X

NPI Details
NPI 1255487138
Enumeration Date 01/25/2007
Last Updated 09/14/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TAE'NI TAE'NI
Position PRESIDENT
Phone (219) 322-8534
Fax (219) 865-9072
Practice Location
1160 JOLIET ST
SUITE 103
DYER IN, 46311-2096, US
Phone (219) 322-8534
Fax (219) 865-9072
Business Location
1160 JOLIET ST
SUITE 103
DYER IN, 46311-2096, US
Phone (219) 322-8534
Fax (219) 865-9072
Toxanomy
Taxonomy Code 208000000X
License State Indiana
License Number 01042969
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According to our database, Tae'ni Chang-stroman M.d., P.c. NPI is 1255487138, taxonomy code is 208000000X and license number is 01042969, license state is located at Indiana. Tae'ni Chang-stroman M.d., P.c. physically located at 1160 Joliet St, Dyer IN, 46311-2096. NPI Number 1033115704 has the healthcare provider type.

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1255487138 NPI number is provided on an as is basis without warranty of any kind. 1255487138 is maintained by the National Plan & Provider Enumeration System. The contents of Tae'ni Chang-stroman M.d., P.c. are for informational purposes only.