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Healthcare OrganizationNPPES Entity Type 2
PRIMARY CARE PC
Registered Details
- NPI
- 1013029883
- Taxonomy
- Healthcare Organization
- Code
- 207Q00000X
Location & Contact
3125 WILLOWCREEK ROAD, PORTAGE, IN, 46368
2197623175
Verify at the source
This organization's record is drawn from the National Plan and Provider Enumeration System (NPPES), maintained by the Centers for Medicare & Medicaid Services.
View on NPPES Registry