Organization
ORTHOPEDIC FOOT & ANKLE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN COLEMAN M.D. (OWNER)
(219) 794-9470
Entity
Organization
Contact information
Practice address
255 E 90TH DR, #W-3, MERRILLVILLE, IN 46410-8103
(219) 794-9270
(219) 794-9276
Mailing address
DEPT 6074, CAROL STREAM, IL 60122-0001
(219) 794-9270
(219) 794-9276
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01040221
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386685
ANTHEM
IN
05
—
200810380A
—
IN
Enumeration date
05/25/2006
Last updated
12/11/2007
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