SOUTHLAKE INTERNAL MEDICINE LLC

CROWN POINT, IN
NPI1568995785
Entity TypeOrganization
Authorized ContactSHOAIB H RASHEED
Owner
219-252-0309
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: IN  01066300)
Enumeration Date2017-04-05
Last Update Date2017-04-05
Business Address
SOUTHLAKE INTERNAL MEDICINE LLC
928 MARY ELLEN DR
CROWN POINT, IN 46307-8998
Phone number: 219-252-0309
Mailing Address
SOUTHLAKE INTERNAL MEDICINE LLC
928 MARY ELLEN DR
CROWN POINT, IN 46307-8998
Phone number: 219-252-0309
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