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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREAT LAKES ORTHOPEDICS & SPORTS MEDICINE, PC

Active Organization

GREAT LAKES ORTHOPEDICS & SPORTS MEDICINE, PC is a Orthopaedic Surgery organization located in SAINT JOHN, Indiana. NPI 1669472270 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · SAINT JOHN, IN

Registration Details

NPI Number
1669472270
Provider Type
Organization
NPI Issued
Jul 26, 2005 (21.06774192573 yrs)
Last Updated
Mar 17, 2018
Licenses
07001187A (IN)
02002102 (IN)

Practice Information

Address
9615 KEILMAN ST
SAINT JOHN, IN, 463739406
Browse IN providers · Browse ZIP 46373
Phone
2193650220
Fax
2193650226
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Organizations in SAINT JOHN, IN

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.