Individual
CORTNEY SLOAN PALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5454 HOHMAN AVE, HAMMOND, IN 46320-1931
(219) 932-2300
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02006063A
IN
207P00000X
Emergency Medicine Physician
036149424
IL
Other
Enumeration date
05/06/2015
Last updated
07/29/2020
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