Beacon Medical Group, Inc.

NPI #1558652347 in Bremen, Indiana

Provider Information

NPI Number
1558652347
Entity Type
Organization
Organization Name
Beacon Medical Group, Inc.
Primary Specialty
Podiatrist
Enumeration Date
Apr 27, 2011
Last Updated
Aug 30, 2016

Practice Location

Address
1020 HIGH RD
City
Bremen
State
Indiana
ZIP Code
46506-1093
Phone
(574) 546-8044

Authorized Official

Name
MR. JEFFREY P. COSTELLO
Title
VP/CFO
Phone
(574) 647-3549

Specialties & Taxonomy Codes

Specialty
Podiatrist

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