# DONALD M. PHILLIPS MD. PC.

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

## Provider details

- **NPI number:** 1356530992
- **Authorized official:** MRS. KELLY A. WOLOSZYN (BILLING MANAGER)
- **Authorized official phone:** (219) 942-8518

## Contact information

- **Practice address:** 1356 S LAKE PARK AVE, HOBART, IN 46342-5964
- **Practice address phone:** (219) 942-8518
- **Practice address fax:** (219) 947-2751
- **Mailing address:** 1356 S LAKE PARK AVE, HOBART, IN 46342-5964
- **Mailing address phone:** (219) 942-8518
- **Mailing address fax:** (219) 947-2751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01020846A | IN | Yes |

## Other

- **Enumeration date:** 10/19/2007
- **Last updated:** 10/19/2007
