Premise Health of Indiana Medical, P.c.
NPI #1942363841 in Chesterton, Indiana
Provider Information
- NPI Number
- 1942363841
- Entity Type
- Organization
- Organization Name
- Premise Health of Indiana Medical, P.c.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 19, 2006
- Last Updated
- Aug 25, 2022
Practice Location
- Address
- 2022 KELLE DR
- City
- Chesterton
- State
- Indiana
- ZIP Code
- 46304-8708
- Phone
- (219) 395-2200
Authorized Official
- Name
- JON LEIZMAN, M.D.
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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