TEOFILO S BAUTISTA

GARY, IN
NPI1801894076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01032450)
Enumeration Date2005-07-12
Last Update Date2013-01-29
Business Address
Dr. TEOFILO S BAUTISTA M.D., P.C.
642 S LAKE ST
GARY, IN 46403-2967
Phone number: 219-938-4481
Mailing Address
Dr. TEOFILO S BAUTISTA M.D., P.C.
8135 CALUMET AVE
MUNSTER, IN 46321-1701
Phone number: 219-513-2000
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