Privia Medical Group Indiana, LLC
NPI #1215567003 in Elkhart, Indiana
Provider Information
- NPI Number
- 1215567003
- Entity Type
- Organization
- Organization Name
- Privia Medical Group Indiana, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ELKHART CLINIC, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jan 21, 2020
- Last Updated
- May 12, 2025
Practice Location
Authorized Official
- Name
- TIMOTHY PORSCHE, MD
- Title
- MANAGING PARTNER
- Phone
- (574) 296-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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