Individual provider · Type 1 NPI

Rodolfo Leongson San Juan Jr., MD

Family Medicine Physician · Crown Point, IN

NPI number 1881895233 Active

Practice location

11161 Randolph St
Crown Point, IN 46307-8564

Fax (219) 662-7465

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X0116017383 (VA)
Family Medicine Physician Primary 207Q00000X01064429A (IN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1881895233

Rodolfo Leongson San Juan Jr., MD's National Provider Identifier is 1881895233, issued on May 31, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Crown Point, IN. The record was last updated on Sep 14, 2023.