| NPI | 1558322982 |
|---|---|
| Doing Business As | PORTAGE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHERYL HAMMOND CFO 219-364-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |