NPI | 1598839730 |
---|---|
Doing Business As | MICHAEL KOVACICH MD |
Entity Type | Organization |
Authorized Contact | JANICE RYBA CEO 219-942-0551 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-11-20 |
Last Update Date | 2024-07-11 |