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Organization

PRINN K STANG MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRINN STANG M.D. (ADMINISTRATOR)
(219) 738-3220
Entity
Organization

Contact information

Practice address
99 E 86TH AVE, SUITE B, MERRILLVILLE, IN 46410-6267
(219) 738-3220
(219) 736-7164
Mailing address
99 E 86TH AVE, SUITE B, MERRILLVILLE, IN 46410-6267
(219) 738-3220
(219) 736-7164

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01029174A
IN

Other

Enumeration date
01/16/2012
Last updated
02/08/2012
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