Organization
MEDICAL SPECIALISTS INC., PC
Active
Organization
MEDICAL SPECIALISTS INC., PC
Active
Other names
Medical Specialists & Child Life Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER A STEMER MD (PRESIDENT & CEO)
(219) 934-2461
Entity
Organization
Contact information
Practice address
10200 WICKER AVE, SAINT JOHN, IN 46373-9439
(219) 365-0970
(219) 365-1830
Mailing address
757 45TH STREET, STE 201, MUNSTER, IN 46321
(219) 934-2461
(219) 934-2478
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
IN
207R00000X
Internal Medicine Physician
Primary
—
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
IN
207RP1001X
Pulmonary Disease Physician
—
IN
207RR0500X
Rheumatology Physician
—
IN
207X00000X
Orthopaedic Surgery Physician
—
IN
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
IN
208000000X
Pediatrics Physician
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100157820
—
IN
Enumeration date
02/05/2010
Last updated
02/28/2011
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