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Individual

DR. RICHARD JAMES HOUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1225 E COOLSPRING AVE, SUITE 1A, MICHIGAN CITY, IN 46360-6312
(219) 878-5035
(219) 878-5002
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4262
(317) 865-8327

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01018052
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000082446
ANTHEM
IN
05
100162510
IN
01
1558319343
NATIONAL
IN
Enumeration date
05/04/2006
Last updated
12/10/2014
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