Organization
ADVANCED MEDICAL CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI R MUTHART CMA (OFFICE MANAGER)
(219) 756-6605
Entity
Organization
Contact information
Practice address
1105 W 163RD AVE, CROWN POINT, IN 46307-9233
(219) 756-6605
(219) 756-6615
Mailing address
155 W 86TH AVE, UNIT B, MERRILLVILLE, IN 46410-7089
(219) 756-6605
(219) 756-6615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2008
Last updated
12/10/2008
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