Contri Medical Corporation Pc | |
217 West Homer Street Michigan City IN 46360 | |
(219) 872-2101 | |
(219) 878-8017 |
Full Name | Contri Medical Corporation Pc |
---|---|
Speciality | Family Medicine |
Location | 217 West Homer Street, Michigan City, Indiana |
Authorized Official Name and Position | Victor Contri (MD PRESIDENT) |
Authorized Official Contact | 2198722101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Contri Medical Corporation Pc 217 West Homer Street Michigan City IN 46360 Ph: (219) 872-2101 | Contri Medical Corporation Pc 217 West Homer Street Michigan City IN 46360 Ph: (219) 872-2101 |
NPI Number | 1255510244 |
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Provider Enumeration Date | 10/26/2007 |
Last Update Date | 11/29/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255510244 | NPI | - | NPPES |
100339630B | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01025129 (Indiana) | Primary |
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