Organization
PATIENTS FIRST EMERGENCY MEDICINE CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J MACUGA MD (PRESIDENT)
(219) 836-7049
Entity
Organization
Contact information
Practice address
15061 W 197TH AVE, LOWELL, IN 46356-9456
(219) 836-7049
(219) 836-7048
Mailing address
PO BOX 678691, DALLAS, TX 75267-8691
(972) 758-3598
(972) 599-9604
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50004350A
IN
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90001082
BCBS
IL
01
—
CJ9251
MEDICARE RAILROAD
IN
Enumeration date
01/19/2007
Last updated
04/20/2008
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