Douglas J Van Putten MD Facs INC

NPI #1548439219 in Michigan City, Indiana

Provider Information

NPI Number: 1548439219
Entity Type: Organization
Organization Name: Douglas J Van Putten MD Facs INC
Primary Specialty: Ophthalmology
Enumeration Date: Feb 26, 2008
Last Updated: Jul 15, 2009

Practice Location

Address: 8865 W 400 N
City: Michigan City
State: Indiana
ZIP Code: 46360-9222
Phone: (330) 773-3544

Authorized Official

Name: DOUGLAS J VANPUTTEN, MD
Title: PRESIDENT
Phone: (219) 872-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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