Premise Health of Indiana Medical, P.c.
NPI #1477226454 in Shipshewana, Indiana
Provider Information
- NPI Number
- 1477226454
- Entity Type
- Organization
- Organization Name
- Premise Health of Indiana Medical, P.c.
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 27, 2021
- Last Updated
- Aug 25, 2022
Practice Location
- Address
- 750 E MIDDLEBURY ST
- City
- Shipshewana
- State
- Indiana
- ZIP Code
- 46565-8801
- Phone
- (260) 768-7411
Authorized Official
- Name
- JON LEIZMAN
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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