Organization
DERMATOLOGY CENTER OF NORTHWEST INDIANA LLC
Active
Other names
Dermatology Center of Northwest Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL L BRESSACK MD (OWNER)
(219) 662-8856
Entity
Organization
Contact information
Practice address
70 W 94TH PL, CROWN POINT, IN 46307-1710
(219) 662-8822
(219) 662-8833
Mailing address
70 W 94TH PL, CROWN POINT, IN 46307-1710
(219) 662-8822
(219) 662-8833
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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