Individual
THESSA GRACE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 GRANT STREET, GARY, IN 46402
(219) 886-4601
(219) 886-4603
Mailing address
600 GRANT STREET, GARY, IN 46402
(219) 886-4601
(219) 886-4603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01061982A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113290
—
IL
Enumeration date
06/10/2006
Last updated
04/08/2021
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