Indiana University Health La Porte Physicians INC

NPI #1164845095 in La Porte, Indiana

Provider Information

NPI Number
1164845095
Entity Type
Organization
Organization Name
Indiana University Health La Porte Physicians INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 29, 2014
Last Updated
May 9, 2014

Practice Location

Address
1300 STATE ST
Address 2
SUITE 1F
State
Indiana
ZIP Code
46350-3185
Phone
(219) 362-6297

Authorized Official

Name
GUDSTEINN THOR THORDARSON
Title
PRESIDENT/CEO
Phone
(219) 326-2555

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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