| Consultants In Gastroenterology, Sc | |
|
701 Superior Ave Suite G Munster IN 46321-4037 | |
| (219) 922-3041 | |
| (219) 922-3048 |
| Full Name | Consultants In Gastroenterology, Sc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 701 Superior Ave, Munster, Indiana |
| Authorized Official Name and Position | Mark E Efrusy (PRESIDENT) |
| Authorized Official Contact | 2199223040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consultants In Gastroenterology, Sc 701 Superior Avenue Suite G Munster IN 46321 Ph: (219) 922-3041 | Consultants In Gastroenterology, Sc 701 Superior Ave Suite G Munster IN 46321-4037 Ph: (219) 922-3041 |
| NPI Number | 1396763330 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396763330 | NPI | - | NPPES |
| 100202290A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 02000882 (Indiana) | Primary |
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