| Physician Management Services Of Indiana Ii, Llc | |
|
300 S Saint Louis Blvd Ste 204 South Bend IN 46617-3044 | |
| (888) 829-8550 | |
| Not Available |
| Full Name | Physician Management Services Of Indiana Ii, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 S Saint Louis Blvd Ste 204, South Bend, Indiana |
| Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Management Services Of Indiana Ii, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: () - | Physician Management Services Of Indiana Ii, Llc 300 S Saint Louis Blvd Ste 204 South Bend IN 46617-3044 Ph: (888) 829-8550 |
| NPI Number | 1053993014 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053993014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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