Organization
JOHANN FARLEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHANN DAVID FARLEY M.D. (PRESIDENT)
(219) 801-2665
Entity
Organization
Contact information
Practice address
8300 BROADWAY STE D2, MERRILLVILLE, IN 46410-8603
(219) 649-0044
(219) 649-0055
Mailing address
8300 BROADWAY STE D2, MERRILLVILLE, IN 46410-8603
(219) 649-0044
(219) 649-0055
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
01060680A
IN
261QP2300X
Primary Care Clinic/Center
46905-20
WI
261QP2300X
Primary Care Clinic/Center
A89493
CA
Other
Enumeration date
01/29/2007
Last updated
03/26/2024
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