Organization
MED SPA WOMANS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN NICOLE LONG (INSURANCE ADMINISTRATOR CO-OFFICE)
(219) 362-4690
Entity
Organization
Contact information
Practice address
220 DUNES PLAZA, MICHIGAN CITY, IN 46360
(219) 879-6262
(219) 362-4692
Mailing address
PO BOX 9721, MICHIGAN CITY, IN 46361
(219) 362-4690
(219) 362-4692
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01052711A
IN
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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