Individual
DR. ANDREW HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10215 BROADWAY STE 204, CROWN POINT, IN 46307-8001
(219) 661-6152
(219) 703-6833
Mailing address
10215 BROADWAY STE 204, CROWN POINT, IN 46307-8001
(219) 661-6152
(219) 703-6833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01087931A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300064777
—
IN
Enumeration date
04/07/2019
Last updated
09/25/2024
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