Organization
FAMILY MEDICINE CONSULTANTS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN ANIGBO (DOCTOR)
(219) 882-7730
Entity
Organization
Contact information
Practice address
650 GRANT ST, SUITE 5, GARY, IN 46404-1533
(219) 882-7730
Mailing address
650 GRANT STREET, SUITE 5, GARY, IN 46404
(219) 882-7730
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
01044809
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200171090B
—
IN
Enumeration date
11/16/2007
Last updated
12/07/2007
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