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Organization

MANUEL OZOA, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANUEL OZOA M.D. (PRESIDENT)
(219) 836-2022
Entity
Organization

Contact information

Practice address
9008 CLINE AVE, HIGHLAND, IN 46322-2204
(219) 836-2022
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-9024
(219) 836-0034

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200920320
IN
Enumeration date
08/08/2006
Last updated
09/13/2012
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