PREMISE HEALTH OF INDIANA MEDICAL, P.C. is a multi-specialty clinic center in Winamac, IN. PREMISE HEALTH OF INDIANA MEDICAL, P.C. NPI is 1851065700. The provider is registered as an organization entity type.
The provider Is Doing Business As Our Clinic @braun.
The provider's business location address is:
144 S 100 W
WINAMAC, IN
ZIP 46996-711
Phone: (574) 355-3111
Fax: (574) 217-4825
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 15D2241062 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/4/2021 and was last updated on 8/25/2022.