Organization
KEITH A. GINGERICH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH GINGERICH M.D. (PRESIDENT/OWNER)
(219) 462-7173
Entity
Organization
Contact information
Practice address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 462-7173
Mailing address
PO BOX 2056, VALPARAISO, IN 46384-2056
(219) 462-7173
(219) 462-7504
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
01038826
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100210000A
—
IN
Enumeration date
10/11/2007
Last updated
03/19/2021
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