Organization · Type 2 NPI

Ear, Nose, Throat, Sinus

Otolaryngology/Facial Plastic Surgery Physician · Munster, IN

NPI number 1073990867 Active

Practice location

8840 Calumet Ave Ste 101
Munster, IN 46321-2546

Fax (219) 836-8272

Mailing address

8840 Calumet Avenue, Suite 101
Munster, IN 46321-2546

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905XNone listed

Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

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About NPI 1073990867

Ear, Nose, Throat, Sinus's National Provider Identifier is 1073990867, issued on Apr 30, 2015. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Munster, IN. The record was last updated on Jul 21, 2022.