| Premier Internal Medicine Llc | |
|
520 Park Place Ct Ste 300 Mishawaka IN 46545-3581 | |
| (574) 400-0668 | |
| Not Available |
| Full Name | Premier Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Park Place Ct Ste 300, Mishawaka, Indiana |
| Authorized Official Name and Position | Jacqueline Mokfi (OWNER) |
| Authorized Official Contact | 5744000668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Internal Medicine Llc 14533 Sedgwick Ct Granger IN 46530-4870 Ph: (574) 400-0668 | Premier Internal Medicine Llc 520 Park Place Ct Ste 300 Mishawaka IN 46545-3581 Ph: (574) 400-0668 |
| NPI Number | 1538653001 |
|---|---|
| Provider Enumeration Date | 06/19/2018 |
| Last Update Date | 06/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538653001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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