Organization
MUNSTER MEDICAL CENTER INFUSION PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER A STEMER M.D. (PRESIDENT)
(219) 836-1899
Entity
Organization
Contact information
Practice address
757 - 45TH STREET, SUITE 102, MUNSTER, IN 46321-2912
(219) 836-1899
(219) 836-2464
Mailing address
757 - 45TH STREET, SUITE 102, MUNSTER, IN 46321-2912
(219) 836-1899
(219) 836-2464
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
60005454A
IN
3336C0003X
Community/Retail Pharmacy
60005454A
IN
3336H0001X
Home Infusion Therapy Pharmacy
Primary
60005454A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000107804
ANTHEM PROVIDER NUMBER
IN
05
—
200254070A
—
IN
Enumeration date
02/14/2007
Last updated
02/06/2009
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