PREMISE HEALTH OF INDIANA MEDICAL PC

MERRILLVILLE, IN
NPI1316031081
Entity TypeOrganization
Authorized ContactJON LEIZMAN
President
615-468-6270
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-10-03
Last Update Date2024-10-29
Business Address
PREMISE HEALTH OF INDIANA MEDICAL PC
251 W 84TH DR
MERRILLVILLE, IN 46410-6243
Phone number: 219-756-4343
Mailing Address
PREMISE HEALTH OF INDIANA MEDICAL PC
5500 MARYLAND WAY ATTN: CBO
BRENTWOOD, TN 37027-4948
Phone number: 800-830-4255
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