Primary Care PC

NPI #1013029883 in Portage, Indiana

Provider Information

NPI Number
1013029883
Entity Type
Organization
Organization Name
Primary Care PC
Primary Specialty
Family Medicine
Enumeration Date
Aug 31, 2006
Last Updated
Aug 7, 2008

Practice Location

Address
3125 WILLOWCREEK ROAD
State
Indiana
ZIP Code
46368
Phone
(219) 762-3175

Authorized Official

Name
DR. KENNETH WALTER BLUMENTHAL, DO
Title
PRESIDENT
Phone
(219) 762-3175

Specialties & Taxonomy Codes

Specialty
Family Medicine

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