Northeast Internal Medicine
NPI #1366859779 in Lagrange, Indiana
Provider Information
- NPI Number
- 1366859779
- Entity Type
- Organization
- Organization Name
- Northeast Internal Medicine
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Jul 17, 2014
- Last Updated
- Feb 27, 2019
Practice Location
Authorized Official
- Name
- TARA GILMORE
- Title
- BUSINESS OFFICE MANAGER
- Phone
- (260) 463-2133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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