NPI 1962640821
Special Medicine Clinic
Practice location
- Address
- 1501 Wabash St STE 303, Michigan City, IN 46360-4355
- Phone
- (219) 874-8711
- Fax
- (219) 874-9075
Authorised official
- Name
- Bina Gupta
- Title
- Office Manager
- Phone
- (219) 874-8711
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1962640821
- Entity type
- Organization
- NPI issued
- 30 Jan 2009
- Record last updated
- 30 Jan 2009
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.