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Dr. Kristin W Houseknecht, MD
General Practice Physician in Michigan City, Indiana
NPI 1538489869

Kristin W Houseknecht is a General Practice Physician based in Chicago, IN. Kristin W Houseknecht practices in Michigan City, IN and has the professional credentials of MD. The NPI Number for Kristin W Houseknecht is 1538489869 and holds a License No. TRN14997 (Indiana).

The current practice location address for Kristin W Houseknecht is 1225 E Coolspring Ave, Michigan City, IN and can be reached out via phone at 219-873-2919 and via fax at 219-873-2909.

Location: 1225 E Coolspring Ave, Michigan City, IN, 60601-5282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538489869
Provider Name
Kristin W Houseknecht
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1225 E Coolspring Ave, Michigan City, IN, 60601-5282
Phone Number
219-873-2919
Fax Number
219-873-2909
Provider Enumeration Date
06/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000001052783 01 IN ANTHEM
201398420 05 IN
institution
Provider Business Practice Location Address Details
Address
1225 E Coolspring Ave
City
Michigan City
State
Indiana
Zip
46360-6312
Phone Number
219-873-2919
Fax Number
219-873-2909
person
Provider Business Mailing Address Details
Address
1225 E Coolspring Ave
City
Michigan City
State
Indiana
Zip
46360-6312
Phone Number
219-873-2919
Fax Number
219-873-2909
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
125.087911 (Illinois)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ME108909 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TRN14997 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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