PREMISE HEALTH OF INDIANA MEDICAL, P.C.

LAFAYETTE, IN
NPI1255085379
Entity TypeOrganization
Authorized ContactJON LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Enumeration Date2022-02-08
Last Update Date2022-08-25
Business Address
PREMISE HEALTH OF INDIANA MEDICAL, P.C.
5500 STATE ROAD 38 E
LAFAYETTE, IN 47905-9405
Phone number: 765-588-5667
Mailing Address
PREMISE HEALTH OF INDIANA MEDICAL, P.C.
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number:
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