Organization
MUNSTER MEDICAL RESEARCH FOUNDATION INC
Active
Parent organization
MUNSTER MEDICAL RESEARCH FOUNDATION INC
Other names
COMMUNITY ANESTHESIOLOGISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSTER MEDICAL RESEARCH FOUNDATION INC
Authorized official
MRS. CHAR KULLERSTRAND (REGIONAL DIRECTOR PATIENT FINANCIAL)
(219) 934-8994
Entity
Organization
Contact information
Practice address
901 MACARTHUR BLVD, ANESTHESIA DEPARTMENT, MUNSTER, IN 46321
(219) 836-7040
(219) 513-1127
Mailing address
901 MACARTHUR BLVD, ANESTHESIA DEPARTMENT, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000100902
ANTHEM BCBS
IN
01
—
200261490B
MDWISE
IN
05
—
200261490B
—
IN
01
—
90000960
BCBS OF ILLINOIS
IN
01
—
CE8881
MEDICARE RAILROAD
IN
Enumeration date
05/08/2006
Last updated
07/11/2024
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