| Crossroads Medical Corporation | |
|
403 W 81st Ave Merrillville IN 46410-5317 | |
| (219) 756-6600 | |
| (219) 756-6602 |
| Full Name | Crossroads Medical Corporation |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 403 W 81st Ave, Merrillville, Indiana |
| Authorized Official Name and Position | Martine S Bergeron (PRESIDENT) |
| Authorized Official Contact | 2197566600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Medical Corporation 403 W 81st Ave Merrillville IN 46410-5317 Ph: (219) 756-6600 | Crossroads Medical Corporation 403 W 81st Ave Merrillville IN 46410-5317 Ph: (219) 756-6600 |
| NPI Number | 1801123583 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 11/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801123583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Primary |
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