NPI 1871059360

Genuwin Health INC

Organisation Pediatrics Physician La Porte, IN

Practice location

Address: 6916 W Johnson Rd, La Porte, IN 46350-6548
Phone: (219) 210-3676
Fax: (219) 814-4228
Mailing address: 4968 N Remington Sq, La Porte, IN 46350-8893

Authorised official

Name: Gerard S Roberts
Title: Owner
Phone: (219) 210-3676

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Indiana →

Registry record

NPI: 1871059360
Entity type: Organization
NPI issued: 20 Feb 2019
Record last updated: 20 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.