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NPI Code Detail

MEDICARE: TEAM PHYSICIANS OF INDIANA

MEDICARE: TEAM PHYSICIANS OF INDIANA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical SuppliesIN

General Provider Information

NPI Number : 1053424903
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEAM PHYSICIANS OF INDIANA
Provider Business Mailing Address
First Line : 403 W 81ST AVE
Second Line :
City : MERRILLVILLE BRA
State : IN
Zip : 46410-5317
Country : US
Telephone Number : 219-756-6600
Fax Number :
Provider Business Practice Location Address
First Line : 403 W 81ST AVE
Second Line :
City : MERRILLVILLE BRA
State : IN
Zip : 46410-5317
Country : US
Telephone Number : 219-756-6600
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. BENOIT O CHOINIERE
Credential :
Telephone Number : 219-756-6600
Provider Enumeration Date : 08/16/2006
Last Update Date : 08/22/2020

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Directions to “TEAM PHYSICIANS OF INDIANA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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