Individual
DR. DOUGLAS A ZALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 S CALUMET RD, CHESTERTON, IN 46304-3220
(219) 926-1001
(219) 929-1989
Mailing address
711 S CALUMET RD, CHESTERTON, IN 46304-3220
(219) 926-1001
(219) 929-1989
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01036095A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100207650
—
IN
Enumeration date
06/30/2005
Last updated
02/04/2014
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