Organization
PHYSICIANS FOR WOMEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER M WIRSING DO (PRESIDENT)
(219) 464-0409
Entity
Organization
Contact information
Practice address
880 EASTPORT CENTRE DR, SUITE 200, VALPARAISO, IN 46383-2909
(219) 464-0409
(219) 464-2376
Mailing address
880 EASTPORT CENTRE DR, SUITE 200, VALPARAISO, IN 46383-2909
(219) 464-0409
(219) 464-2376
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
50004100A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100189860A
—
IN
01
—
50004100A
MEDICAL CORPORATION
IN
Enumeration date
03/05/2007
Last updated
03/01/2011
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