Individual
DR. DOMINIK CORNELIUS MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1101 GLENDALE BLVD STE 101, VALPARAISO, IN 46383-3769
(219) 307-4750
(219) 307-4755
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(175) 284-8003
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016005676
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001291A
IN
390200000X
Student in an Organized Health Care Education/Training Program
135000797
IL
Other
Enumeration date
06/17/2013
Last updated
05/02/2025
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