Individual
DONNA H WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 JOLIET ST STE 225, DYER, IN 46311-1789
(198) 658-8002
(219) 865-8908
Mailing address
PO BOX 734240, CHICAGO, IL 60673-4240
(815) 744-8554
(630) 495-1770
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01059214A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200525550A
—
IN
05
—
300059728
—
IN
Enumeration date
06/14/2006
Last updated
04/06/2023
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