Individual
MEAGHAN RENEE MISIASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
929 RIDGE RD STE 1, MUNSTER, IN 46321-1769
(219) 703-2418
(219) 836-2433
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
01087414A
IN
207K00000X
Allergy & Immunology Physician
DR.0057440
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2010
Last updated
04/01/2022
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