| Thyroid & Diabetes Management Center Ltd | |
|
8939 Broadway Merrillville IN 46410-7039 | |
| (219) 836-2022 | |
| Not Available |
| Full Name | Thyroid & Diabetes Management Center Ltd |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 8939 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Richard Longley (PRESIDENT) |
| Authorized Official Contact | 2198362022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thyroid & Diabetes Management Center Ltd 9201 Calumet Ave Munster IN 46321-2807 Ph: (219) 836-2022 | Thyroid & Diabetes Management Center Ltd 8939 Broadway Merrillville IN 46410-7039 Ph: (219) 836-2022 |
| NPI Number | 1326058884 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 10/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326058884 | NPI | - | NPPES |
| 100215590 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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