Unknown Individual – Internal Medicine Physician, NPI 1487684619
Internal Medicine Physician
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Provider Addresses for Unknown Individual
Methodist Midlake Campus, 2269, West 25th Avenue, Black Oak, Gary, Calumet Township, Lake County, Indiana, 46404, United States
GARY, IN 464043367
Phone: (219) 644-4187
Fax: (219) 944-4196
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| General Surgery, Colorectal Surgery (Proctology) | NY | |
| Gynecological Oncology, Obstetrics/Gynecology | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| P O D I A T R Y | IN | |
| Nurse Practitioner | IN | |
| N E U R O L O G Y | AR | |
| General Surgery | IL |
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