# TALARIA PODIATRY GROUP PC

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

## Provider details

- **NPI number:** 1528611001
- **Authorized official:** MRS. JENNIFER GRANDFIELD (MANAGER)
- **Authorized official phone:** (219) 741-1643

## Contact information

- **Practice address:** 8127 MERRILLVILLE RD STE 1, MERRILLVILLE, IN 46410-6306
- **Practice address phone:** (219) 741-1643
- **Mailing address:** 921 E 650 N, LA PORTE, IN 46350-8976
- **Mailing address phone:** (219) 741-1643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2019
- **Last updated:** 07/23/2019
