Organization
MUNSTER ORTHOPAEDIC INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M. TIOCO MD (PRESIDENT)
(219) 677-4940
Entity
Organization
Contact information
Practice address
9660 WICKER AVE, SAINT JOHN, IN 46373-9487
(219) 677-4940
Mailing address
9660 WICKER AVE, SAINT JOHN, IN 46373-9487
(219) 677-4940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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