Keith A. Gingerich, M.d., P.c. | |
1001 Sturdy Rd Valparaiso IN 46383-4126 | |
(219) 462-7173 | |
Not Available |
Full Name | Keith A. Gingerich, M.d., P.c. |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1001 Sturdy Rd, Valparaiso, Indiana |
Authorized Official Name and Position | Keith Gingerich (PRESIDENT/OWNER) |
Authorized Official Contact | 2194627173 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Keith A. Gingerich, M.d., P.c. Po Box 2056 Valparaiso IN 46384-2056 Ph: (219) 462-7173 | Keith A. Gingerich, M.d., P.c. 1001 Sturdy Rd Valparaiso IN 46383-4126 Ph: (219) 462-7173 |
NPI Number | 1922296185 |
---|---|
Provider Enumeration Date | 10/11/2007 |
Last Update Date | 03/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922296185 | NPI | - | NPPES |
100210000A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 01038826 (Indiana) | Primary |
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