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 |
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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 |
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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 |
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Provider Enumeration Date | 06/15/2011 |
Last Update Date | 06/15/2011 |
Identifier | Type | State | Issuer |
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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 |