Organization
CROSSROADS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTINE S BERGERON (PRESIDENT)
(219) 477-6888
Entity
Organization
Contact information
Practice address
3028 CALUMET AVE, VALPARAISO, IN 46383-2640
(219) 477-6888
(219) 477-6804
Mailing address
3028 CALUMET AVE, VALPARAISO, IN 46383-2640
(219) 477-6888
(219) 477-6804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
08/19/2009
Last updated
08/20/2009
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