Individual
ANASTAS MUKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9330 BROADWAY, CROWN POINT, IN 46307-8602
(219) 662-5137
Mailing address
10195 FLOYD ST, CROWN POINT, IN 46307-3059
(219) 662-7399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01049340
IN
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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