Premise Health of Indiana Medical PC
NPI #1811862212 in Mount Vernon, Indiana
Provider Information
- NPI Number
- 1811862212
- Entity Type
- Organization
- Organization Name
- Premise Health of Indiana Medical PC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Oct 7, 2025
- Last Updated
- Oct 7, 2025
Practice Location
- Address
- 4601 HIGHWAY 62 E BLDG 120
- City
- Mount Vernon
- State
- Indiana
- ZIP Code
- 47620-9682
- Phone
- (812) 307-2336
Authorized Official
- Name
- JONATHAN B LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (615) 468-6270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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