Individual
DEREK J DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8256 HOHMAN AVE, MUNSTER, IN 46321-1516
(219) 836-2770
(219) 836-0438
Mailing address
536 W 55TH AVE, MERRILLVILLE, IN 46410-2010
(219) 836-2770
(219) 836-0438
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01033635A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215670
—
IN
Enumeration date
12/08/2005
Last updated
09/06/2011
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