Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NORTHERN INDIANA DERMATOLOGY AND SKIN SURGERY CENTER
Active OrganizationNORTHERN INDIANA DERMATOLOGY AND SKIN SURGERY CENTER is a Obesity Medicine organization located in PORTAGE, Indiana. NPI 1639289093 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · PORTAGE, IN
Registration Details
- NPI Number
- 1639289093
- Provider Type
- Organization
- NPI Issued
- Aug 30, 2006 (19.979359802935 yrs)
- Last Updated
- Aug 22, 2020
- License
-
207N00000X (IN)
Practice Information
- Address
-
3190 LANCER STPORTAGE, IN, 463684488Browse IN providers · Browse ZIP 46368
- Phone
- 2197643600
- Fax
- 2197643661
- Primary Specialty
-
Obesity Medicine
207ND0101X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.