Individual
NADA MUKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
9330 BROADWAY, CROWN POINT, IN 46307-8602
(219) 662-5019
Mailing address
10195 FLOYD ST, CROWN POINT, IN 46307-3059
(219) 662-7399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01060837A
IN
261Q00000X
Clinic/Center
01060837
IN
Other
Enumeration date
08/30/2006
Last updated
04/19/2008
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