Organization
APPLEGARTH DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G APPLEGARTH M.D. (PRESIDENT)
(219) 548-0360
Entity
Organization
Contact information
Practice address
1861 S STURDY RD, VALPARAISO, IN 46383
(219) 548-0360
(219) 548-0358
Mailing address
1510 MICHIGAN AVE, LA PORTE, IN 46350-5150
(219) 324-4947
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01039449A
IN
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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