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MUNSTER MEDICAL RESEARCH FOUNDATION INC NPI 1346567401


NPI Information

NPI: 1346567401
Provider Name: MUNSTER MEDICAL RESEARCH FOUNDATION INC

Other Name: INNOVATIVE WOMENS HEALTH

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 15D2008394

Address:
1400 S LAKE PARK AVENUE
STE 205
HOBART, IN
ZIP 46342
Phone: (219) 942-8620
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MUNSTER MEDICAL RESEARCH FOUNDATION INC is an obstetrics gynecology in Hobart, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MUNSTER MEDICAL RESEARCH FOUNDATION INC NPI is 1346567401. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Innovative Womens Health.

The provider's business location address is:

1400 S LAKE PARK AVENUE
STE 205
HOBART, IN
ZIP 46342-790
Phone: (219) 942-8620
Fax: (219) 942-6356

The provider's authorized official is Donald P Fesko .
The authorized official title is Ceo and has the following contact phone number (219) 836-1600.

The CLIA number assigned to this NPI record is 15D2008394 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2010 and was last updated on 5/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1264270MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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