Organization
NORTHWEST INDIANA PATHOLOGY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI NORDBROCK MD (M.D. PRESIDENT)
(219) 836-1600
Entity
Organization
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(800) 288-8325
(419) 866-5453
Mailing address
PO BOX 10805, MERRILLVILLE, IN 46410-0805
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200404920
—
IN
Enumeration date
12/29/2005
Last updated
01/12/2023
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