Individual
BRIAN THOMAS DAMITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1444
(219) 921-0533
Mailing address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1444
(219) 921-0533
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001184A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011145
—
IN
Enumeration date
06/29/2010
Last updated
12/17/2024
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