“General Practice Physician” (Crown Point, IN)
Location: Crown Point, IN
Taxonomy: General Practice Physician.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1174222830
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PRESTIGE 2
Practice Location Address:
11360 BROADWAY
CROWN POINT IN
46307-7197
Practice Phone:
219-301-2624