Individual
GRACE W DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5454 S HOHMAN AVE, ER DEPARTMENT, HAMMOND, IN 46320-1931
(219) 933-2077
(219) 933-2593
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02002796
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095590
—
IN
Enumeration date
09/12/2005
Last updated
07/19/2011
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