Individual
PERKIN KNOT STANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 E 86TH AVE, SUITE B, MERRILLVILLE, IN 46410-6267
(219) 738-3220
(219) 736-7164
Mailing address
99 E 86TH AVE, SUITE B, MERRILLVILLE, IN 46410-6267
(219) 738-3220
(219) 736-7164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01056783A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
01056783A
IN
Other
Enumeration date
02/15/2007
Last updated
06/07/2024
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