| Compass Life Indiana Llc | |
|
8733 W 400 N Michigan City IN 46360-9330 | |
| (219) 363-7904 | |
| Not Available |
| Full Name | Compass Life Indiana Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8733 W 400 N, Michigan City, Indiana |
| Authorized Official Name and Position | Amanda Runion (OFFICE MANAGER) |
| Authorized Official Contact | 2198034145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Life Indiana Llc 8733 W 400 N Michigan City IN 46360-9330 Ph: (219) 803-4145 | Compass Life Indiana Llc 8733 W 400 N Michigan City IN 46360-9330 Ph: (219) 363-7904 |
| NPI Number | 1528527041 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 01/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528527041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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