Organization
YERETSIAN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARA K YERETSIAN M.D. (PRESIDENT)
(219) 738-2345
Entity
Organization
Contact information
Practice address
303 EAST 89TH AVE, STE A, MERRILLVILLE, IN 46410-8126
(219) 738-2345
(800) 520-4604
Mailing address
303 E 89TH AVE, STE A, MERRILLVILLE, IN 46410-8126
(219) 738-2345
(800) 520-4604
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
01026546A
IN
Other
Enumeration date
11/20/2008
Last updated
06/18/2010
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