Organization
SURGICAL CONSULTANTS OF NORTHWEST INDIANA ,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ARNOLD BLEZA MD (PRESIDENT)
(219) 736-6850
Entity
Organization
Contact information
Practice address
5521 W LINCOLN HWY, SUITE 215, CROWN POINT, IN 46307-1097
(219) 736-6850
(219) 736-6855
Mailing address
PO BOX 597, SCHERERVILLE, IN 46375-0597
(219) 736-6850
(219) 736-6855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01052161A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200348360
—
IN
Enumeration date
09/13/2006
Last updated
11/19/2009
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