Organization
MUNSTER ORTHOPAEDIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MANUEL TIOCO M.D. (OWNER/PHYSICIAN)
(312) 399-3896
Entity
Organization
Contact information
Practice address
801 MACARTHUR BLVD, SUITE 304, MUNSTER, IN 46321-2915
(219) 677-4940
(219) 865-2143
Mailing address
PO BOX 609, SCHERERVILLE, IN 46375-0609
(219) 677-4940
(219) 865-2143
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01054586A
IN
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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