| Monarch Well Works Powered By Premise Health | |
|
430 Fintail Dr Indianapolis IN 46219-6207 | |
| (317) 612-3193 | |
| (317) 612-3270 |
| Full Name | Monarch Well Works Powered By Premise Health |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 430 Fintail Dr, Indianapolis, Indiana |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch Well Works Powered By Premise Health 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Monarch Well Works Powered By Premise Health 430 Fintail Dr Indianapolis IN 46219-6207 Ph: (317) 612-3193 |
| NPI Number | 1659955540 |
|---|---|
| Provider Enumeration Date | 05/07/2021 |
| Last Update Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659955540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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