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Organization
TALARIA PODIATRY GROUP PC
Active
Organization
TALARIA PODIATRY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER GRANDFIELD (MANAGER)
(219) 741-1643
Entity
Organization
Contact information
Practice address
8127 MERRILLVILLE RD STE 1, MERRILLVILLE, IN 46410-6306
(219) 741-1643
Mailing address
921 E 650 N, LA PORTE, IN 46350-8976
(219) 741-1643
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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