Jon D Misch, D.O.

NPI #1790767465 in Cedar Lake, Indiana

Provider Information

NPI Number: 1790767465
Entity Type: Individual
Name: Jon D Misch, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Nov 17, 2005
Last Updated: Apr 19, 2010

Practice Location

Address: 13963 MORSE STREET
City: Cedar Lake
State: Indiana
ZIP Code: 46303-9639
Phone: (219) 374-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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