NPI | 1033161617 |
---|---|
Doing Business As | BEACON MEDICAL GROUP SCHWARTZ - WIEKAMP |
Entity Type | Organization |
Authorized Contact | JEFFREY COSTELLO VP CFO 574-647-3549 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01058339A) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
207RI0011X Internal Medicine, Interventional Cardiology | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2025-02-13 |