Organization
LAPORTE PEDIATRICS PC
Active
Other names
Children's Clinic Munster
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA SUE GAEKLE (ADMINISTRATOR)
(219) 836-1855
Entity
Organization
Contact information
Practice address
9337 CALUMET AVE STE A, MUNSTER, IN 46321-5805
(219) 836-1855
(219) 836-0527
Mailing address
9337 CALUMET AVE STE A, MUNSTER, IN 46321-5805
(219) 836-1855
(219) 835-0527
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200432120
—
IN
Enumeration date
10/26/2006
Last updated
03/17/2016
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