Individual
DR. ADAM SERGIWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MRCP,DCH
Contact information
Practice address
9856 W 400 N, MICHIGAN CITY, IN 46360-2910
(219) 878-0882
(219) 878-0884
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01049378A
IN
208M00000X
Hospitalist Physician
01049378A
IN
261QP2300X
Primary Care Clinic/Center
01049378A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305691
ANTHEM BC/BS
IN
05
—
200199090B
—
IN
Enumeration date
09/17/2008
Last updated
06/18/2024
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