MICHAEL J BEACH

LA PORTE, IN
NPI1942219878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71000746A)
Enumeration Date2006-08-07
Last Update Date2013-02-06
Business Address
-- MICHAEL J BEACH FNP
7002 W JOHNSON RD
LA PORTE, IN 46350-8289
Phone number: 219-325-0604
Mailing Address
-- MICHAEL J BEACH FNP
PO BOX 1690
LA PORTE, IN 46352-1690
Phone number: 219-326-2312
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