PREMISE HEALTH OF INDIANA MEDICAL, P.C. is a primary care clinic center in Notre Dame, IN. PREMISE HEALTH OF INDIANA MEDICAL, P.C. NPI is 1801167879. The provider is registered as an organization entity type.
The provider Is Doing Business As Notre Dame Wellness Center.
The provider's business location address is:
100 WELLNESS CENTER
UNIVERSITY OF NOTRE DAME
NOTRE DAME, IN
ZIP 46556-600
Phone: (574) 634-9355
Fax: (574) 631-3377
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 15D2041614 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/23/2012 and was last updated on 8/25/2022.