Provider Demographics
NPI:1134474091
Name:MARCHAND, HECTOR JUAN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:JUAN
Last Name:MARCHAND
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2022 KELLE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-8708
Mailing Address - Country:US
Mailing Address - Phone:219-364-3616
Mailing Address - Fax:219-364-3610
Practice Address - Street 1:1231 CUMBERLAND XING
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2192
Practice Address - Country:US
Practice Address - Phone:219-548-3843
Practice Address - Fax:219-548-3256
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301101406207R00000X
IN01075518A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine