Aixsa Perez M D P C

NPI #1134414329 in Osceola, Indiana

Provider Information

NPI Number: 1134414329
Entity Type: Organization
Organization Name: Aixsa Perez M D P C
Primary Specialty: Family Medicine
Enumeration Date: Jun 15, 2011
Last Updated: Jun 15, 2011

Practice Location

Address: 1712 LINCOLNWAY W
Address 2: SUITE A
City: Osceola
State: Indiana
ZIP Code: 46561-1933
Phone: (574) 675-9630

Authorized Official

Name: AIXSA PEREZ, M D
Title: OWNER
Phone: (574) 675-9630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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