Organization
MUNSTER ORTHOPAEDIC INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MANUEL TIOCO M.D. (OWNER/PHYSICIAN)
(219) 836-2225
Entity
Organization
Contact information
Practice address
9660 WICKER AVE, SAINT JOHN, IN 46373-9487
(219) 836-2225
(219) 836-3158
Mailing address
9136 COLUMBIA AVE, MUNSTER, IN 46321-2907
(219) 836-2225
(219) 836-3158
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01054586A
IN
Other
Enumeration date
01/06/2010
Last updated
12/21/2012
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