A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology |
| NPI Number | 1972650950 |
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| LBN Legal business name | MERRILLVILLE CLINIC PC | ||||||||
| Authorized official | KELLEY RAMSEY - (BILLING MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/04/2007 | ||||||||
| Last updated | 01/04/2012 - About 14 years ago | ||||||||
| Identifiers |
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