Individual
ROMAN O FILIPOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3777 FRONTAGE RD, SUITE 400, MICHIGAN CITY, IN 46360-7695
(219) 325-3679
(219) 325-3758
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01033345
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000612803
ANTHEM, BCBS
IN
05
—
100164000A
—
IN
Enumeration date
06/02/2005
Last updated
03/01/2016
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