Fortson Family Care And Wellness Center | |
1950 45th Ave Suite 100 Munster IN 46321-3917 | |
(219) 924-9277 | |
(219) 924-9281 |
Full Name | Fortson Family Care And Wellness Center |
---|---|
Speciality | Family Medicine |
Location | 1950 45th Ave, Munster, Indiana |
Authorized Official Name and Position | Darryl L Fortson (PRESIDENT & CEO) |
Authorized Official Contact | 2199249277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fortson Family Care And Wellness Center 1950 45th Ave Suite 100 Munster IN 46321-3917 Ph: (219) 924-9277 | Fortson Family Care And Wellness Center 1950 45th Ave Suite 100 Munster IN 46321-3917 Ph: (219) 924-9277 |
NPI Number | 1184710428 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 12/03/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184710428 | NPI | - | NPPES |
000000359839 | Other | IN | ANTHEM, BC/BS PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01037803 (Indiana) | Primary |
News Archive
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