Individual
CARLOS SERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1519 MICHIGAN AVE, LA PORTE, IN 46350-5149
(219) 324-2373
Mailing address
1519 MICHIGAN AVE, LA PORTE, IN 46350-5149
(219) 324-2373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01019325A
IN
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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