NPI | 1194288860 |
---|---|
Doing Business As | ADVANCED INTERNAL MEDICINE OF MICHIANA |
Entity Type | Organization |
Authorized Contact | DAHAN AL-FADHL C.E.O. 574-274-9523 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2019-04-10 |
Last Update Date | 2024-04-03 |