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Individual

DR. WILLIAM F. NOWLIN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 ROOSEVELT PL, VALPARAISO, IN 46383-3707
(219) 464-2218
(219) 477-4131
Mailing address
1200 ROOSEVELT PL, VALPARAISO, IN 46383-3707
(219) 464-2218
(219) 477-4131

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22552
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000082834
ANTHEM BLUE CROSS
IN
05
100160080A
IN
Enumeration date
08/08/2006
Last updated
01/21/2011
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