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Maw Medicine Pc
Medical Specialty Clinic/Center in Valparaiso, Indiana
NPI 1013191139

Maw Medicine Pc is a Medical Specialty Clinic/Center based in Chesterton, IN and is specialized in Medical Specialty. Maw Medicine Pc practices in Valparaiso, IN. The NPI Number for Maw Medicine Pc is 1013191139 and holds a License No. 01048590A (Indiana).

The current practice location address for Maw Medicine Pc is 802 Laporte Ave, Valparaiso, IN and can be reached out via phone at 219-477-5242.

Location: 802 Laporte Ave, Valparaiso, IN, 46304-1573
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013191139
Provider Name
Maw Medicine Pc
Credential
Provider Entity Type
Organization
Address
802 Laporte Ave, Valparaiso, IN, 46304-1573
Phone Number
219-477-5242
Fax Number
Provider Enumeration Date
12/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE3546 01 RAILROAD MEDICARE
1225130867 01 IN PER SONANPI-MICHAEL WOODS
200203200 05 IN
institution
Provider Business Practice Location Address Details
Address
802 Laporte Ave
City
Valparaiso
State
Indiana
Zip
46383-5860
Phone Number
219-477-5242
Fax Number
person
Provider Business Mailing Address Details
Address
802 Laporte Ave
City
Valparaiso
State
Indiana
Zip
46383-5860
Phone Number
219-477-5242
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
01048590A (Indiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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