| NPI | 1609169671 |
|---|---|
| Doing Business As | DERMATOLOGY CENTER OF NORTHWEST INDIANA |
| Entity Type | Organization |
| Authorized Contact | MITCHELL L BRESSACK Owner 219-662-8856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |