Provider First Line Business Practice Location Address:
ST ANTHONY MEMORIAL HOSPITAL
Provider Second Line Business Practice Location Address:
301 E HOMER ST
Provider Business Practice Location Address City Name:
MICHIGAN CITY
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-861-8688
Provider Business Practice Location Address Fax Number:
219-877-1081
Provider Enumeration Date:
08/25/2005