Organization
IU HEALTH CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON HANNON MBA (MANAGER)
(219) 326-1234
Entity
Organization
Contact information
Practice address
901 LINCOLNWAY, LA PORTE, IN 46350-3430
(219) 324-0014
Mailing address
901 LINCOLNWAY, LA PORTE, IN 46350-3430
(219) 324-0014
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
28173025A
IN
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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