Premise Health of Indiana Medical, P.c.

NPI #1699446948 in Whiting, Indiana

Provider Information

NPI Number
1699446948
Entity Type
Organization
Organization Name
Premise Health of Indiana Medical, P.c.
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Sep 27, 2021
Last Updated
Aug 25, 2022

Practice Location

Address
2815 INDIANAPOLIS BLVD # MC113
State
Indiana
ZIP Code
46394-2197
Phone
(219) 473-3072

Authorized Official

Name
JON LEIZMAN
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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