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Children'S Clinic Munster

Specialist in Munster, IN. Organization (NPI-2).

NPI number1215040969
StatusActive
Last updated in NPPESJun 13, 2008

Details

NPI
1215040969
Entity type
Organization (NPI-2)
Legal business name
Children'S Clinic Munster
Organization subpart
No
Enumeration date
Aug 16, 2006
Last updated
Jun 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist01026157INYes

Practice location

8224 Calumet Ave
Munster, IN 46321-1704

Phone 219-836-1855 · Fax 219-836-0527

Mailing address

8224 Calumet Ave
Munster, IN 46321

Phone 219-836-1855 · Fax 219-836-0527

Authorized official

S Daman Paul
Owner
2198361855

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