Premise Health of Indiana Medical PC
NPI #1316031081 in Merrillville, Indiana
Provider Information
- NPI Number
- 1316031081
- Entity Type
- Organization
- Organization Name
- Premise Health of Indiana Medical PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Oct 29, 2024
Practice Location
- Address
- 251 W 84TH DR
- City
- Merrillville
- State
- Indiana
- ZIP Code
- 46410-6243
- Phone
- (219) 756-4343
Authorized Official
- Name
- JON LEIZMAN, M.D.
- Title
- PRESIDENT
- Phone
- (615) 468-6270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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