Organization
STREETER MED, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LYNN STREETER D.O. (PRESIDENT)
(219) 791-9782
Entity
Organization
Contact information
Practice address
8127 MERRILLVILLE ROAD, SUITE 3, MERRILLVILLE, IN 46410-1485
(219) 791-9782
(219) 791-9787
Mailing address
8127 MERRILLVILLE ROAD, SUITE 3, MERRILLVILLE, IN 46410-1485
(219) 791-9782
(219) 791-9787
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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