Dermatology Center of Northwest Indiana LLC

NPI #1609169671 in Crown Point, Indiana

Provider Information

NPI Number
1609169671
Entity Type
Organization
Organization Name
Dermatology Center of Northwest Indiana LLC
Primary Specialty
Dermatology
Enumeration Date
May 24, 2011
Last Updated
May 24, 2011

Practice Location

Address
70 W 94TH PL
State
Indiana
ZIP Code
46307-1710
Phone
(219) 662-8822

Authorized Official

Name
DR. MITCHELL L BRESSACK, MD
Title
OWNER
Phone
(219) 662-8856

Specialties & Taxonomy Codes

Specialty
Dermatology - DermatopathologyDermatopathology
Dermatology

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