# CALUMET INTERNIST PC

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

## Provider details

- **NPI number:** 1659439115
- **Authorized official:** DR. LAWRENCE D BERNSTEIN MD (PHYSICIAN)
- **Authorized official phone:** (219) 836-3366

## Contact information

- **Practice address:** 9122 COLUMBIA AVE, MUNSTER, IN 46321-2907
- **Practice address phone:** (219) 836-3366
- **Mailing address:** 9122 COLUMBIA AVE, MUNSTER, IN 46321-2907
- **Mailing address phone:** (219) 836-3366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 50001884A | IN | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/22/2020