| The Granger Village Doctor, Pc | |
|
50740 Princess Way Suite 600 Granger IN 46530-4339 | |
| (574) 243-8600 | |
| (574) 243-8601 |
| Full Name | The Granger Village Doctor, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 50740 Princess Way, Granger, Indiana |
| Authorized Official Name and Position | Julie M. Ortega-schmitt (OWNER) |
| Authorized Official Contact | 5742438600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Granger Village Doctor, Pc Po Box 540 Granger IN 46530-0540 Ph: (574) 243-8600 | The Granger Village Doctor, Pc 50740 Princess Way Suite 600 Granger IN 46530-4339 Ph: (574) 243-8600 |
| NPI Number | 1295903748 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 06/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295903748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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