INNOVATIVE MEDICINE
Organization (NPI-2)
Active
Family Medicine, Addiction Medicine
Provider Information
- NPI Number
1417486523- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3554 PROMENADE PKWY STE H, LAFAYETTE, IN, 479098418
- Phone
- (765) 471-1100
- Fax
- (765) 471-1009
Specialties & Taxonomies
Family Medicine, Addiction Medicine
Primary
Family Medicine, Adult Medicine
Family Medicine, Bariatric Medicine
Non-Pharmacy Dispensing Site