Maw Medicine PC
NPI #1013191139 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1013191139
- Entity Type
- Organization
- Organization Name
- Maw Medicine PC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Dec 26, 2007
- Last Updated
- Aug 15, 2013
Practice Location
- Address
- 802 LAPORTE AVE
- Address 2
- SUITE 102
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-5860
- Phone
- (219) 477-5242
Authorized Official
- Name
- MS. JACKIE WOODS
- Title
- PHYSICIAN BILLER
- Phone
- (219) 689-6637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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