Jon D. Misch, D.o.,p.c.

NPI #1972716082 in Cedar Lake, Indiana

Provider Information

NPI Number: 1972716082
Entity Type: Organization
Organization Name: Jon D. Misch, D.o.,p.c.
Primary Specialty: General Practice
Enumeration Date: May 7, 2007
Last Updated: May 7, 2010

Practice Location

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

Authorized Official

Name: DR. JON D. MISCH, D.O.
Title: PRESIDENT
Phone: (219) 374-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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