Individual
JAMES A SERWATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 TEAGARDEN, COMMUNITY HEALTH CENTER, LA PORTE, IN 46350
(219) 326-0043
(219) 326-8909
Mailing address
1007 LINCOLNWAY, POST OFFICE BOX 1539, LA PORTE, IN 46350-3201
(219) 326-0043
(219) 326-8909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01023702A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092150A
—
IN
Enumeration date
02/13/2007
Last updated
06/08/2010
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