Porter County Internal Medicine PC

NPI #1851492177 in Valparaiso, Indiana

Provider Information

NPI Number
1851492177
Entity Type
Organization
Organization Name
Porter County Internal Medicine PC
Primary Specialty
Internal Medicine
Enumeration Date
Sep 26, 2006
Last Updated
Sep 4, 2012

Practice Location

Address
3705 QUAIL COVEY DRIVE
State
Indiana
ZIP Code
46383-2278
Phone
(219) 464-3941

Authorized Official

Name
CARLA ANNE WEISS
Title
SECRETARY TREASURER
Phone
(219) 464-3941

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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