Michiana Multi-specialty Medical Group | |
2100 N Main St Ste 304 Crown Point IN 46307-1877 | |
(574) 546-1900 | |
(574) 546-1999 |
Full Name | Michiana Multi-specialty Medical Group |
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Speciality | Internal Medicine |
Location | 2100 N Main St Ste 304, Crown Point, Indiana |
Authorized Official Name and Position | Steven Posar (CEO) |
Authorized Official Contact | 5745461900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michiana Multi-specialty Medical Group Po Box 10299 Fort Wayne IN 46851-0299 Ph: (574) 546-1900 | Michiana Multi-specialty Medical Group 2100 N Main St Ste 304 Crown Point IN 46307-1877 Ph: (574) 546-1900 |
NPI Number | 1588963797 |
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Provider Enumeration Date | 03/28/2011 |
Last Update Date | 02/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588963797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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