Organization
LA PORTE REGIONAL PHYSICIAN NETWROK
Active
Other names
La Porte Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VOLK (EXECUTIVE DIRECTOR)
(219) 326-2485
Entity
Organization
Contact information
Practice address
10176 W 400 N, SUITE C, MICHIGAN CITY, IN 46360-9008
(219) 879-6021
(219) 879-6365
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165070V
—
IN
Enumeration date
11/05/2007
Last updated
06/05/2008
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