Internal Medicine,geriatrics and Oncology Group, P.c.

NPI #1417983537 in Portage, Indiana

Provider Information

NPI Number
1417983537
Entity Type
Organization
Organization Name
Internal Medicine,geriatrics and Oncology Group, P.c.
Primary Specialty
Internal Medicine
Enumeration Date
Jun 23, 2006
Last Updated
Jul 18, 2014

Practice Location

Address
2640 HAMSTROM RD
State
Indiana
ZIP Code
46368-3832
Phone
(219) 762-9523

Authorized Official

Name
MRS. DIANA G NEUMANN
Title
BILLING CLERK
Phone
(219) 464-4786

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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