Organization
MERRILLVILLE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLEY L RAMSEY (BILLING MANAGER)
(219) 331-9615
Entity
Organization
Contact information
Practice address
7899 TAFT ST, MERRILLVILLE, IN 46410-5284
(219) 769-4333
Mailing address
7899 TAFT ST, MERRILLVILLE, IN 46410-5284
(219) 769-4333
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
01027935
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100468160A
—
IN
Enumeration date
01/04/2007
Last updated
01/04/2012
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