| Granger Village Doctor Pc | |
|
50740 Princess Way Suite 600 Granger IN 46530-4339 | |
| (574) 243-8600 | |
| (574) 243-8601 |
| Full Name | Granger Village Doctor Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 50740 Princess Way, Granger, Indiana |
| Authorized Official Name and Position | Julie M. Ortega-schmitt (OWNER) |
| Authorized Official Contact | 5742438600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granger Village Doctor Pc Po Box 540 Granger IN 46530-0540 Ph: (574) 243-8600 | Granger Village Doctor Pc 50740 Princess Way Suite 600 Granger IN 46530-4339 Ph: (574) 243-8600 |
| NPI Number | 1295903748 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 06/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295903748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Beacon Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12340 Bittersweet Commons Blvd W, Granger, IN 46530 Phone: 574-271-8610 Fax: 574-271-8620 | |
Black Clover Holdings Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7225 Heritage Square Dr Ste 240, Granger, IN 46530 Phone: 574-369-9102 | |
Michiana Hospitalist Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51265 Amesburry Way, Granger, IN 46530 Phone: 574-243-4875 Fax: 574-243-4847 | |
Engleman Clinical Staffing, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14533 Sedgwick Ct, Granger, IN 46530 Phone: 574-400-0668 Fax: 574-400-0668 | |
True Health Experience Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6910 N Main St Unit 4, Granger, IN 46530 Phone: 574-281-0202 Fax: 574-990-4409 | |
Renew Aesthetics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 E University Dr, Granger, IN 46530 Phone: 574-318-4148 |