| Michael Kovacich MD | |
|
200 E 80th Place Ste 100 Merrillville IN 46410-5671 | |
| (219) 769-7536 | |
| (219) 736-1506 |
| Full Name | Michael Kovacich MD |
|---|---|
| Speciality | Family Medicine |
| Location | 200 E 80th Place, Merrillville, Indiana |
| Authorized Official Name and Position | Janice Ryba (CEO) |
| Authorized Official Contact | 2199420551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Kovacich MD 9660 Wicker Avenue St John IN 46373-9487 Ph: (219) 226-2203 | Michael Kovacich MD 200 E 80th Place Ste 100 Merrillville IN 46410-5671 Ph: (219) 769-7536 |
| NPI Number | 1598839730 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598839730 | NPI | - | NPPES |
| 200251650 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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