BEACON MEDICAL GROUP, INC.
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1083665673- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 926 ERSKINE PLZ, SOUTH BEND, IN, 466143244
- Phone
- (800) 635-5516
- Fax
- (574) 647-6514
Specialties & Taxonomies
Nurse Practitioner
Primary License: IN #71000651A