| Bush MD PC | |
|
3156 Willowcreek Rd Portage IN 46368-4424 | |
| (219) 762-4999 | |
| Not Available |
| Full Name | Bush MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 3156 Willowcreek Rd, Portage, Indiana |
| Authorized Official Name and Position | Lynn Mcdonald (CREDENTIALING) |
| Authorized Official Contact | 2197691670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bush MD PC 55 E 86th Ave Merrillville IN 46410-6382 Ph: (219) 769-1670 | Bush MD PC 3156 Willowcreek Rd Portage IN 46368-4424 Ph: (219) 762-4999 |
| NPI Number | 1851931299 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 01/14/2020 |
| Certification Date | 01/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851931299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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