Premise Health of Indiana Medical, P.c.
NPI #1801167879 in Notre Dame, Indiana
Provider Information
- NPI Number
- 1801167879
- Entity Type
- Organization
- Organization Name
- Premise Health of Indiana Medical, P.c.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 23, 2012
- Last Updated
- Aug 25, 2022
Practice Location
- Address
- 100 WELLNESS CENTER
- Address 2
- UNIVERSITY OF NOTRE DAME
- City
- Notre Dame
- State
- Indiana
- ZIP Code
- 46556-3600
- Phone
- (574) 634-9355
Authorized Official
- Name
- DR. JON LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Clinic/Center - Primary Care — Primary Care |
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