Individual
DR. LARRY J. WAPIENNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
11406 BROADWAY, CROWN POINT, IN 46307-7106
(219) 663-7737
(219) 663-7733
Mailing address
11406 BROADWAY, CROWN POINT, IN 46307-7106
(219) 663-7737
(219) 663-7733
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000451A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086346
ANTHEM
IN
01
—
000000086347
ANTHEM
IN
01
—
480014055
RAILROAD MEDICARE
IN
01
—
8615234002
CIGNA
IN
01
—
90001028
BLUE CROSS BLUE SHIELD IL
IN
Enumeration date
01/14/2007
Last updated
06/04/2010
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