RICARDO MANUEL QUEZADA

MUNSTER, IN
NPI1053502435
Other NameRICARDO MANUEL QUEZADA REAL
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: IN  01073108A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OK  25794)
Enumeration Date2007-08-09
Last Update Date2013-08-28
Business Address
-- RICARDO MANUEL QUEZADA M.D.
761 45TH AVE STE. 103
MUNSTER, IN 46321-2893
Phone number: 219-922-3002
Mailing Address
-- RICARDO MANUEL QUEZADA M.D.
757 45TH AVE STE. 201
MUNSTER, IN 46321-2911
Phone number: 219-993-4246