Individual
DR. MICHAEL F MIROCHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
336 W US HIGHWAY 30, SUITE A, VALPARAISO, IN 46385-5345
(219) 464-7430
(219) 464-8014
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-3616
(219) 364-3610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11014818A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Enumeration date
07/14/2008
Last updated
09/11/2020
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