Beacon Medical Group, Inc.

NPI #1639196249 in Elkhart, Indiana

Provider Information

NPI Number
1639196249
Entity Type
Organization
Organization Name
Beacon Medical Group, Inc.
Primary Specialty
Family Medicine
Enumeration Date
Jul 17, 2006
Last Updated
Feb 5, 2025

Practice Location

Address
3301 COUNTY ROAD 6 E
State
Indiana
ZIP Code
46514-7673
Phone
(574) 264-9635

Authorized Official

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

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