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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