Donald Pesavento, M.D.
Family Medicine in Crown Point, IN. Individual provider (NPI-1).
NPI number1104843937
StatusActive
Last updated in NPPESJul 19, 2011
Details
- NPI
- 1104843937
- Entity type
- Individual (NPI-1)
- Name
- Donald Pesavento
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2006
- Last updated
- Jul 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 01032265A | IN | Yes |
| 208600000X | Surgery | 01032265A | IN |
Practice location
9301 Connecticut DriveCrown Point, IN 46307-7486
Phone 219-796-4117
Mailing address
9301 Connecticut DriveCrown Point, IN 46307-7486
Phone 219-756-2100
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