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Individual

MR. ALEXANDER S BOZANICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7550 HOHMAN AVE STE 600, MUNSTER, IN 46321-1065
(219) 836-2449
(219) 836-2953
Mailing address
PO BOX 1104, CROWN POINT, IN 46308-1104
(219) 836-2449
(219) 836-2953

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01047404A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01047404A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000544215
BCBS IN
IN
01
0090001354
BCBS IL
IL
05
200158760
IN
01
P00466655
MEDICAR RR PTAN
IN
Enumeration date
01/27/2006
Last updated
07/21/2022
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