Individual
JANET SEABROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1021 W 5TH AVE, GARY, IN 46402-1703
(219) 880-1190
(219) 880-0784
Mailing address
1021 W 5TH AVE, GARY, IN 46402-1703
(219) 880-1190
(219) 880-0784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044720
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200214110
—
IN
Enumeration date
08/01/2006
Last updated
07/08/2007
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