| Crossroads Medical Corporation | |
|
3028 Calumet Ave Valparaiso IN 46383-2640 | |
| (219) 477-6888 | |
| (219) 477-6804 |
| Full Name | Crossroads Medical Corporation |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 3028 Calumet Ave, Valparaiso, Indiana |
| Authorized Official Name and Position | Martine S Bergeron (PRESIDENT) |
| Authorized Official Contact | 2194776888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Medical Corporation 3028 Calumet Ave Valparaiso IN 46383-2640 Ph: (219) 477-6888 | Crossroads Medical Corporation 3028 Calumet Ave Valparaiso IN 46383-2640 Ph: (219) 477-6888 |
| NPI Number | 1376775718 |
|---|---|
| Provider Enumeration Date | 08/19/2009 |
| Last Update Date | 08/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376775718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Primary |
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› Verified 9 days ago
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