Organization
ILANA T. KIRSCH, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILANA T. KIRSCH M.D. (OWNER/PHYSICIAN)
(574) 243-4911
Entity
Organization
Contact information
Practice address
15477 SPRING MEADOW LN, GRANGER, IN 46530-6506
(574) 243-4911
Mailing address
15477 SPRING MEADOW LN, GRANGER, IN 46530-6506
(574) 243-4911
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01054274
IN
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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