Organization
DIGESTIVE HEALTHCARE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY GILLEN (BILLING REPRESENTATIVE)
(219) 362-4887
Entity
Organization
Contact information
Practice address
8865 W 400 N #155, MCIHGAN CITY, IN 46360
(219) 362-4887
(219) 872-2712
Mailing address
8865 W 400 N #155, MICHIGAN CITY, IN 46360
(219) 362-4887
(219) 872-2712
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209820
—
IN
Enumeration date
09/28/2006
Last updated
05/31/2011
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