| Premise Health Of Indiana Medical, P.c. | |
|
10006 Auburn Park Dr Fort Wayne IN 46825-2389 | |
| (260) 247-8020 | |
| Not Available |
| Full Name | Premise Health Of Indiana Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10006 Auburn Park Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | William Wright (LEGAL COUNSEL) |
| Authorized Official Contact | 6155775893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Indiana Medical, P.c. 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Premise Health Of Indiana Medical, P.c. 10006 Auburn Park Dr Fort Wayne IN 46825-2389 Ph: (260) 247-8020 |
| NPI Number | 1447955406 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 03/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447955406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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