Alexander Porucznik
NPI #1952943649 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1952943649
- Entity Type
- Individual
- Name
- Alexander Porucznik
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 14, 2019
- Last Updated
- Apr 8, 2022
Practice Location
- Address
- 1861 STURDY RD
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-8017
- Phone
- (219) 548-0360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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