Individual
HECTOR JUAN MARCHAND SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1331 STATE ST STE 140, LA PORTE, IN 46350-3112
(219) 324-0014
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-4004
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01030847A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01030847A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000840968
ANTHEM BCBS
IN
05
—
100209900
—
IN
Enumeration date
07/24/2006
Last updated
03/02/2023
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