Crossroads Medical Corporation | |
3028 Calumet Ave Valparaiso IN 46383-2640 | |
(219) 477-6888 | |
(219) 477-6804 |
Full Name | Crossroads Medical Corporation |
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Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 3028 Calumet Ave, Valparaiso, Indiana |
Authorized Official Name and Position | Martine S Bergeron (PRESIDENT) |
Authorized Official Contact | 2194776888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crossroads Medical Corporation 3028 Calumet Ave Valparaiso IN 46383-2640 Ph: (219) 477-6888 | Crossroads Medical Corporation 3028 Calumet Ave Valparaiso IN 46383-2640 Ph: (219) 477-6888 |
NPI Number | 1376775718 |
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Provider Enumeration Date | 08/19/2009 |
Last Update Date | 08/20/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376775718 | 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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