Individual
DANIEL RICHARD KOTFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 SAINT MARY RD STE 303, VALPARAISO, IN 46383-3986
(219) 286-3832
(219) 703-6935
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01095962A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300050688
—
IN
Enumeration date
04/06/2021
Last updated
07/04/2025
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