Organization
OTOLARYNGOLOGY ASSOCIATES OF NORTHWEST INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET ST. PIERRE (OFFICE MANAGER)
(219) 836-9368
Entity
Organization
Contact information
Practice address
2211 MAIN ST STE 1A, HIGHLAND, IN 46322-3514
(219) 836-9368
(219) 836-9357
Mailing address
2211 MAIN ST STE 1A, HIGHLAND, IN 46322-3514
(219) 836-9368
(219) 836-9357
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
225100000X
Physical Therapist
—
—
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
06/17/2022
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