MICHAEL KOVACICH

ST JOHN, IN
NPI1558363309
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01033371A)
Enumeration Date2005-08-11
Last Update Date2012-11-28
Business Address
-- MICHAEL KOVACICH MD
9660 WICKER AVE STE 100E
ST JOHN, IN 46373-9487
Phone number: 219-365-1166
Mailing Address
-- MICHAEL KOVACICH MD
9660 WICKER AVE STE 100E
ST JOHN, IN 46373-9487
Phone number: 219-365-1166