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Organization
ENHANCED PRACTICE SERVICES
Active
Organization
ENHANCED PRACTICE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J. NEWELL (MEMBER)
(219) 677-2269
Entity
Organization
Contact information
Practice address
5908 COLUMBIA AVE, HAMMOND, IN 46320-2610
(219) 803-7380
(219) 803-7551
Mailing address
5908 COLUMBIA AVE, HAMMOND, IN 46320-2610
(219) 803-7380
(219) 803-7551
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
IN
2084N0400X
Neurology Physician
—
IN
Other
Enumeration date
05/22/2015
Last updated
07/21/2022
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