| Organization Name: | MUNSTER MEDICAL RESEARCH FOUNDATION INC |
| NPI Number: | 1053621425 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD P FESKO (CEO) |
| Mailing Address: | 901 Macarthur Blvd 1st Floor West Pavilion Munster |
| State: | IN US |
| Postal Code: | 463212901 |
| Phone Number: | 2198367713 |
| Fax Number: | 2198367083 |
| NPI Enumeration Date: | 10/19/2010 |
| NPI Last Update Date: | 10/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |