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Organization

FRANCISCAN PHYSICIANS HOSPITAL, LLC

Active
Other names
FPH Spine Clinic North
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA GREENE (PRESIDENT)
(219) 922-4205
Entity
Organization

Contact information

Practice address
5454 HOHMAN AVE, HAMMOND, IN 46320-1931
(219) 933-2654
(219) 933-2655
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2649

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary

Other

Enumeration date
07/08/2010
Last updated
02/24/2011
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