Organization
MIRICH MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST CARL MIRICH MD (PRESIDENT)
(219) 769-3550
Entity
Organization
Contact information
Practice address
8550 BROADWAY, SUITE C, MERRILLVILLE, IN 46410-7032
(219) 769-3550
(219) 769-8604
Mailing address
8550 BROADWAY, SUITE C, MERRILLVILLE, IN 46410-7032
(219) 769-3550
(219) 769-8604
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100440570A
—
IN
Enumeration date
02/20/2006
Last updated
11/26/2009
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