| Aixsa Perez M D P C | |
|
1712 Lincolnway W Suite A Osceola IN 46561-1933 | |
| (574) 675-9630 | |
| Not Available |
| Full Name | Aixsa Perez M D P C |
|---|---|
| Speciality | Family Medicine |
| Location | 1712 Lincolnway W, Osceola, Indiana |
| Authorized Official Name and Position | Aixsa Perez (OWNER) |
| Authorized Official Contact | 5746759630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aixsa Perez M D P C 1712 Lincolnway W Suite A Osceola IN 46561-1933 Ph: (574) 675-9630 | Aixsa Perez M D P C 1712 Lincolnway W Suite A Osceola IN 46561-1933 Ph: (574) 675-9630 |
| NPI Number | 1134414329 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134414329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01049434A (Indiana) | Primary |
Stephen Kennedy Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Lincoln Way W, Suite O, Osceola, IN 46561 Phone: 574-674-6499 Fax: 574-674-6490 |