Individual
DR. DAVID SAMUEL MENDELOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 STATE STREET, SUITE 2C, LA PORTE, IN 46350-3134
(219) 325-0152
(219) 325-8621
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01030941A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163770
—
IN
Enumeration date
07/28/2006
Last updated
02/05/2010
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