Organization · Type 2 NPI
ST Margaret Mercy Healthcare Centers, Inc
Otolaryngology/Facial Plastic Surgery Physician · Dyer, IN
NPI number
1669702106
Active
Practice location
24 Joliet St Ste 101
Dyer, IN 46311-1705
Fax (219) 864-2644
Mailing address
PO Box 1000
Dyer, IN 46311-0800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 02000967A (IN) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
3 other providers at this address
About NPI 1669702106
ST Margaret Mercy Healthcare Centers, Inc's National Provider Identifier is 1669702106, issued on Jan 6, 2010. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Dyer, IN. The record was last updated on Jan 6, 2010.