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209 Florence Ave Granger IN 46530-8048 | |
(574) 366-0242 | |
(479) 255-4728 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 209 Florence Ave, Granger, Indiana |
Authorized Official Name and Position | Emily Brown (NURSE PRACTITIONER) |
Authorized Official Contact | 5746072690 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5044 Reo Ave South Bend IN 46619-1335 Ph: (574) 607-2690 | 209 Florence Ave Granger IN 46530-8048 Ph: (574) 366-0242 |
NPI Number | 1952080889 |
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Provider Enumeration Date | 07/17/2023 |
Last Update Date | 08/03/2023 |
Identifier | Type | State | Issuer |
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1952080889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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