NORTHERN INDIANA DERMATOLOGY AND SKIN SURGERY CENTER

PORTAGE, IN
NPI1639289093
Entity TypeOrganization
Authorized ContactRUCHIK S DESAI
Physician
219-764-3600
Organization Subpart ?No
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: IN  207n00000x)
Enumeration Date2006-08-30
Last Update Date2020-08-22
Business Address
NORTHERN INDIANA DERMATOLOGY AND SKIN SURGERY CENTER
3190 LANCER ST
PORTAGE, IN 46368-4488
Phone number: 219-764-3600
Mailing Address
NORTHERN INDIANA DERMATOLOGY AND SKIN SURGERY CENTER
3190 LANCER ST
PORTAGE, IN 46368-4488
Phone number: 219-764-3600
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