Organization
PORTER COUNTY PULMONARY AND CRITICAL CARE MEDICINE P.C.
Active
Organization
PORTER COUNTY PULMONARY AND CRITICAL CARE MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ADOLPH MAZUREK M.D. (PRESIDENT)
(219) 464-9054
Entity
Organization
Contact information
Practice address
1101 GLENDALE BLVD, SUITE 102, VALPARAISO, IN 46383-3767
(219) 464-9054
(219) 465-1749
Mailing address
1101 GLENDALE BLVD, SUITE 102, VALPARAISO, IN 46383-3767
(219) 464-9054
(219) 465-1749
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01038566
IN
207RP1001X
Pulmonary Disease Physician
01038566
IN
Other
Enumeration date
11/28/2006
Last updated
09/11/2025
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