Organization
KEITH M RAMSEY MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORVILLE C ROSE (EXECUTIVE DIRECTOR)
(904) 503-1132
Entity
Organization
Contact information
Practice address
7863 BROADWAY STE 244, MERRILLVILLE, IN 46410-5553
(773) 991-3602
(219) 962-5053
Mailing address
1512 BURR ST, GARY, IN 46406-2369
(219) 944-3933
(219) 944-2473
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01036485
IN
207V00000X
Obstetrics & Gynecology Physician
036068254
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100201350A
—
IN
Enumeration date
10/28/2005
Last updated
02/20/2024
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