NPI | 1841582087 |
---|---|
Doing Business As | BEACON MEDICAL GROUP CARDIO THORACIC SURGERY ELKHART |
Entity Type | Organization |
Authorized Contact | JEFF P COSTELLO CFO 574-647-3549 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2023-04-28 |