| Premise Health Of Indiana Medical Pc | |
|
251 W 84th Dr Merrillville IN 46410-6243 | |
| (219) 756-4343 | |
| (219) 756-4382 |
| Full Name | Premise Health Of Indiana Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 251 W 84th Dr, Merrillville, Indiana |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Indiana Medical Pc 5500 Maryland Way Attn: Cbo Brentwood TN 37027-4948 Ph: (800) 830-4255 | Premise Health Of Indiana Medical Pc 251 W 84th Dr Merrillville IN 46410-6243 Ph: (219) 756-4343 |
| NPI Number | 1316031081 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316031081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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