# PRINN K STANG MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104197516
- **Authorized official:** DR. PRINN STANG M.D. (ADMINISTRATOR)
- **Authorized official phone:** (219) 738-3220

## Contact information

- **Practice address:** 99 E 86TH AVE, SUITE B, MERRILLVILLE, IN 46410-6267
- **Practice address phone:** (219) 738-3220
- **Practice address fax:** (219) 736-7164
- **Mailing address:** 99 E 86TH AVE, SUITE B, MERRILLVILLE, IN 46410-6267
- **Mailing address phone:** (219) 738-3220
- **Mailing address fax:** (219) 736-7164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01029174A | IN | Yes |

## Other

- **Enumeration date:** 01/16/2012
- **Last updated:** 02/08/2012