Organization
NOWLIN SURGICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM F. NOWLIN M.D. (PRESIDENT)
(219) 464-2218
Entity
Organization
Contact information
Practice address
1200 ROOSEVELT PLACE, VALPARAISO, IN 47383-3707
(219) 464-2218
(219) 477-4131
Mailing address
1200 ROOSEVELT PL, VALPARAISO, IN 46383-3707
(219) 464-2218
(219) 477-4131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01022552B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100160080A
—
IN
Enumeration date
09/21/2011
Last updated
09/21/2011
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