Individual
DR. PATRICK D MCINERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-7049
Mailing address
PO BOX 869359, PLANO, TX 75086-9359
(972) 758-3598
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01053002A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223686
ANTHEM BCBS
IN
05
—
200281850
—
IN
01
—
90001082
BCBS
IL
01
—
930117363
RAILROAD
IN
01
—
IN0003543
TRICARE
IN
Enumeration date
01/24/2006
Last updated
01/25/2010
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