Organization
NORTHWEST INDIANA ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOHNSON (BUSINESS MANAGER)
(219) 363-2134
Entity
Organization
Contact information
Practice address
8865 W 400 N, SUITE 165, MICHIGAN CITY, IN 46360-9222
(219) 872-2536
(219) 872-2533
Mailing address
8865 W 400 N, SUITE 165, MICHIGAN CITY, IN 46360-9222
(219) 872-2536
(219) 872-2533
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01040872
IN
Other
Enumeration date
07/03/2006
Last updated
08/22/2020
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