Individual
BRUCE R YALOWITZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W 84TH DR, MERRILLVILLE, IN 46410
(219) 736-1255
(219) 738-1276
Mailing address
PO BOX 10190, MERRILLVILLE, IN 46410
(219) 736-1255
(219) 738-1276
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01042372
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092542
ANTHEM BC BS
IN
05
—
100377580A
—
IN
01
—
352029220
COMMERCIAL
IN
Enumeration date
08/19/2005
Last updated
11/13/2025
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