Organization Name: | MUNSTER MEDICAL RESEARCH FOUNDATIO |
NPI Number: | 1033443106 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD P FESKO (CEO) |
Mailing Address: | 3545 Arbors Street Portage |
State: | IN US |
Postal Code: | 463684297 |
Phone Number: | 2197596092 |
Fax Number: | 2197596580 |
NPI Enumeration Date: | 09/23/2009 |
NPI Last Update Date: | 07/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |