Premier Internal Medicine LLC

NPI #1538653001 in Mishawaka, Indiana

Provider Information

NPI Number
1538653001
Entity Type
Organization
Organization Name
Premier Internal Medicine LLC
Primary Specialty
Internal Medicine
Enumeration Date
Jun 19, 2018
Last Updated
Jun 19, 2018

Practice Location

Address
520 PARK PLACE CT STE 300
State
Indiana
ZIP Code
46545-3581
Phone
(574) 400-0668

Authorized Official

Name
DR. JACQUELINE MOKFI, MD
Title
OWNER
Phone
(574) 400-0668

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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