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Great Lakes Orthopedics & Sports Medicine, Pc
Foot & Ankle Surgery Podiatrist in Saint John, Indiana
NPI 1669472270

Great Lakes Orthopedics & Sports Medicine, Pc is a Foot & Ankle Surgery Podiatrist based in Saint John, IN and is specialized in Foot & Ankle Surgery. Great Lakes Orthopedics & Sports Medicine, Pc practices in Saint John, IN. The NPI Number for Great Lakes Orthopedics & Sports Medicine, Pc is 1669472270 and holds a License No. 02002102 (Indiana).

The current practice location address for Great Lakes Orthopedics & Sports Medicine, Pc is 9615 Keilman St, Saint John, IN and can be reached out via phone at 219-365-0220 and via fax at 219-365-0226.

Location: 9615 Keilman St, Saint John, IN, 46373-9406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669472270
Provider Name
Great Lakes Orthopedics & Sports Medicine, Pc
Credential
Provider Entity Type
Organization
Address
9615 Keilman St, Saint John, IN, 46373-9406
Phone Number
219-365-0220
Fax Number
219-365-0226
Provider Enumeration Date
07/26/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC2442 01 IN RAILROAD MEDICARE
90001186 01 IL BC/BS IL
institution
Provider Business Practice Location Address Details
Address
9615 Keilman St
City
Saint John
State
Indiana
Zip
46373-9406
Phone Number
219-365-0220
Fax Number
219-365-0226
person
Provider Business Mailing Address Details
Address
9615 Keilman St
City
Saint John
State
Indiana
Zip
46373-9406
Phone Number
219-365-0220
Fax Number
219-365-0226
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
07001187A (Indiana)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
02002102 (Indiana)
Definition
Definition to come...
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