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Organization
OTOLARYNGOLOGY ASSOCIATES OF NORTHWEST INDIANA LLC
Active
Organization
OTOLARYNGOLOGY ASSOCIATES OF NORTHWEST INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET ST. PIERRE (OFFICE MANAGER)
(219) 836-9368
Entity
Organization
Contact information
Practice address
2211 MAIN ST STE 1A, HIGHLAND, IN 46322-3514
(219) 836-9368
(219) 836-9357
Mailing address
2211 MAIN ST STE 1A, HIGHLAND, IN 46322-3514
(219) 836-9368
(219) 836-9357
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
225100000X
Physical Therapist
—
—
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
06/17/2022
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