Beacon Medical Group INC

NPI #1942781109 in Bremen, Indiana

Provider Information

NPI Number
1942781109
Entity Type
Organization
Organization Name
Beacon Medical Group INC
Primary Specialty
Family Medicine
Enumeration Date
Aug 27, 2018
Last Updated
Feb 22, 2024

Practice Location

Address
1144 W PLYMOUTH ST
City
Bremen
State
Indiana
ZIP Code
46506-1842
Phone
(574) 546-5363

Authorized Official

Name
JEFFREY P. COSTELLO
Title
CFO
Phone
(574) 647-3460

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology - GynecologyGynecology
Nurse Practitioner - FamilyFamily
Family Medicine

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