Organization
RENEW PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIVE K ADLAKA (MEMBER)
(219) 864-9494
Entity
Organization
Contact information
Practice address
7284 W. LINCOLN HWY, CROWN POINT, IN 46307-9526
(219) 864-9494
Mailing address
7284 W. LINCOLN HWY, CROWN POINT, IN 46307-9526
(219) 864-9494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002445A
IN
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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