Organization
GENUWIN HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD S ROBERTS MD (OWNER)
(219) 210-3676
Entity
Organization
Contact information
Practice address
6916 W JOHNSON RD, LA PORTE, IN 46350-6548
(219) 210-3676
(219) 814-4228
Mailing address
4968 N REMINGTON SQ, LA PORTE, IN 46350-8893
(219) 478-6682
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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