BEACON MEDICAL GROUP, INC.
Organization (NPI-2)
Active
Obstetrics & Gynecology
Provider Information
- NPI Number
1316073372- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1215 LAWN AVE STE 100, ELKHART, IN, 465142450
- Phone
- (574) 293-2893
- Fax
- (574) 293-1298
Specialties & Taxonomies
Advanced Practice Midwife
Nurse Practitioner, Family
Obstetrics & Gynecology
Primary License: IN #07-005017-1