NPI | 1730133455 |
---|---|
Doing Business As | DERMATOLOGY CENTER OF NW INDIANA |
Entity Type | Organization |
Authorized Contact | MITCHELL L BRESSACK Proprietor 219-662-8822 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2006-05-19 |
Last Update Date | 2007-12-17 |