# PHYSICIANS FOR WOMEN PC

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

## Provider details

- **NPI number:** 1912036161
- **Authorized official:** DR. CHRISTOPHER M WIRSING DO (PRESIDENT)
- **Authorized official phone:** (219) 464-0409

## Contact information

- **Practice address:** 880 EASTPORT CENTRE DR, SUITE 200, VALPARAISO, IN 46383-2909
- **Practice address phone:** (219) 464-0409
- **Practice address fax:** (219) 464-2376
- **Mailing address:** 880 EASTPORT CENTRE DR, SUITE 200, VALPARAISO, IN 46383-2909
- **Mailing address phone:** (219) 464-0409
- **Mailing address fax:** (219) 464-2376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 50004100A | IN | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 03/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100189860A | — | IN |
| 01 | — | 50004100A | MEDICAL CORPORATION | IN |