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Organization
INDIANA INSTITUTE OF CARDIOLOGY
Active
Organization
INDIANA INSTITUTE OF CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC A ESPAR CPA (CHIEF FINANCIAL OFFICER)
(219) 874-1400
Entity
Organization
Contact information
Practice address
1000 WASHINGTON ST, MICHIGAN CITY, IN 46360-4266
(219) 874-1400
(219) 874-1398
Mailing address
1000 WASHINGTON ST, MICHIGAN CITY, IN 46360-4266
(219) 874-1400
(219) 874-1398
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000105128
ANTHEM GROUP NUMBER
IN
Enumeration date
08/31/2006
Last updated
09/11/2025
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