NPI:
1295903748
Provider Name:
GRANGER VILLAGE DOCTOR PC
Other Name: THE GRANGER VILLAGE DOCTOR, PC
Classification:
Clinic/Center - 261QP2300X
Entity Type:
Organization
Specialization: Primary Care
Address:
50740 PRINCESS WAY
SUITE 600
GRANGER, IN
ZIP 46530
Phone:
(574) 243-8600
Get Directions
GRANGER VILLAGE DOCTOR PC is a primary care clinic center in Granger, IN. GRANGER VILLAGE DOCTOR PC NPI is 1295903748. The provider is registered as an organization entity type.
The provider Other Name Is The Granger Village Doctor, Pc.
The provider's business location address is:
50740 PRINCESS WAY
SUITE 600
GRANGER, IN
ZIP 46530-339
Phone: (574) 243-8600
Fax: (574) 243-8601
The provider's authorized official is Julie M. Ortega-schmitt .
The authorized official title is Owner and has the following contact phone number (574) 243-8600.
The enumeration date for this NPI number is 2/19/2008 and was last updated on 6/30/2011.