Organization · Type 2 NPI
Special Medicine Clinic
Specialist · Michigan City, IN
NPI number
1962640821
Active
Practice location
1501 Wabash St Ste 303
Michigan City, IN 46360-4355
Fax (219) 874-9075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 01029292A (IN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1962640821
Special Medicine Clinic's National Provider Identifier is 1962640821, issued on Jan 30, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Michigan City, IN. The record was last updated on Jan 30, 2009.