Individual
DR. RADOSVETA GEORGIEVA ODISEEVA IVANOVA NESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
155 W 86TH AVE STE B, MERRILLVILLE, IN 46410-6192
(219) 756-6605
(219) 756-6615
Mailing address
1105 W 163RD AVE, CROWN POINT, IN 46307-9233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01049149
IN
Other
Enumeration date
10/15/2006
Last updated
02/16/2010
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