Organization
CONTRI MEDICAL CORPORATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR CONTRI (MD PRESIDENT)
(219) 872-2101
Entity
Organization
Contact information
Practice address
217 WEST HOMER STREET, MICHIGAN CITY, IN 46360
(219) 872-2101
(219) 878-8017
Mailing address
217 WEST HOMER STREET, MICHIGAN CITY, IN 46360
(219) 872-2101
(219) 878-8017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01025129
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100339630B
—
IN
Enumeration date
10/26/2007
Last updated
11/29/2011
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