| NPI | 1720290349 |
|---|---|
| Doing Business As | METHODIST NORTHLAKE PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | IAN MCFADDEN President 219-886-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-03-23 |