Organization
JON D. MISCH, D.O.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON D. MISCH D.O. (PRESIDENT)
(219) 374-5555
Entity
Organization
Contact information
Practice address
13963 MORSE ST, CEDAR LAKE, IN 46303-9639
(219) 374-5555
(219) 374-6669
Mailing address
13963 MORSE ST, CEDAR LAKE, IN 46303-9639
(219) 374-5555
(219) 374-6669
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02000900
IN
Other
Enumeration date
05/07/2007
Last updated
05/07/2010
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