Organization
APPLEGARTH DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTENA OESTREICH (OFFICE MANAGER)
(219) 548-0360
Entity
Organization
Contact information
Practice address
1861 STURDY RD, VALPARAISO, IN 46383-8017
(219) 548-0360
(219) 548-0358
Mailing address
1861 STURDY RD, VALPARAISO, IN 46383-8017
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10001797A
IN
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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