Individual
HOWARD MORRIS MISHOULAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9054 COLUMBIA AVE, MUNSTER, IN 46321-2905
(219) 836-1014
(219) 836-1665
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-9024
(219) 836-0034
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01033507
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100361790
—
IN
Enumeration date
12/27/2005
Last updated
09/13/2012
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