| 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 |