Organization
CROSSROADS MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINE S BERGERON (PRESIDENT)
(219) 477-6888
Entity
Organization
Contact information
Practice address
3028 CALUMET AVE, VALPARAISO, IN 46383-2640
(219) 477-6888
(219) 477-6804
Mailing address
3028 CALUMET AVE, VALPARAISO, IN 46383-2640
(219) 477-6888
(219) 477-6804
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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