BEACON MEDICAL GROUP, INC.

SOUTH BEND, IN
NPI1275587149
Entity TypeOrganization
Authorized ContactJEFFREY COSTELLO
VP CFO
574-647-3549
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01022886A)
Enumeration Date2006-05-22
Last Update Date2018-07-03
Business Address
BEACON MEDICAL GROUP, INC.
813 S MICHIGAN ST
SOUTH BEND, IN 46601
Phone number: 574-647-2400
Mailing Address
BEACON MEDICAL GROUP, INC.
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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