JORGE MEDINA

LOWELL, IN
NPI1194762054
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01061849A)
Enumeration Date2006-06-01
Last Update Date2023-10-11
Business Address
JORGE MEDINA MD
4500 W 181ST AVE
LOWELL, IN 46356-0017
Phone number: 219-690-2016
Mailing Address
JORGE MEDINA MD
PO BOX 781076
DETROIT, MI 48278-7241
Phone number: 317-528-4800