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Ear, Nose And Throat Of Michiana P.c.
Specialist in Granger, Indiana
NPI 1295726198

Ear, Nose And Throat Of Michiana P.c. is a Specialist based in Granger, IN. Ear, Nose And Throat Of Michiana P.c. practices in Granger, IN. The NPI Number for Ear, Nose And Throat Of Michiana P.c. is 1295726198 and holds a License No. 01035158A (Indiana).

The current practice location address for Ear, Nose And Throat Of Michiana P.c. is 209 Florence Avenue, Granger, IN and can be reached out via phone at 574-246-1000 and via fax at 574-246-4000.

Location: 209 Florence Avenue, Granger, IN, 46530-8048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295726198
Provider Name
Ear, Nose And Throat Of Michiana P.c.
Credential
Provider Entity Type
Organization
Address
209 Florence Avenue, Granger, IN, 46530-8048
Phone Number
574-246-1000
Fax Number
574-246-4000
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200485700A 05 IN
200717560A 01 IN FIRST STEPS-IN
institution
Provider Business Practice Location Address Details
Address
209 Florence Avenue
City
Granger
State
Indiana
Zip
46530-8048
Phone Number
574-246-1000
Fax Number
574-246-4000
person
Provider Business Mailing Address Details
Address
209 Florence Avenue
City
Granger
State
Indiana
Zip
46530-8048
Phone Number
574-246-1000
Fax Number
574-246-4000
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01035158A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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