Organization
PAUL G SOMMER DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL G SOMMER (PRESIDENT)
(219) 477-3668
Entity
Organization
Contact information
Practice address
1610 POINTE DR, VALPARAISO, IN 46383-7098
(219) 477-3668
(219) 531-1520
Mailing address
1610 POINTE DR, VALPARAISO, IN 46383-7098
(219) 477-3668
(219) 531-1520
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000690A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200901950 A
—
IN
Enumeration date
06/13/2008
Last updated
09/17/2008
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