| Nathaniel Ross Md | |
|
8701 Broadway Merrillville IN 46410-7035 | |
| (219) 769-1670 | |
| (219) 738-6714 |
| Full Name | Nathaniel Ross Md |
|---|---|
| Speciality | Family Medicine |
| Location | 8701 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Nathaniel Ross (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2197691670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Ross Md 55 E 86th Ave Po Box 10645 Merrillville IN 46410-6382 Ph: (219) 769-1670 | Nathaniel Ross Md 8701 Broadway Merrillville IN 46410-7035 Ph: (219) 769-1670 |
| NPI Number | 1396754073 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396754073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01052287 (Indiana) | Primary |
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