BEACON MEDICAL GROUP, INC.
Organization (NPI-2)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1578515151- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 111 W JEFFERSON BLVD SUITE 100, SOUTH BEND, IN, 466011994
- Phone
- (574) 647-1669
- Fax
- (574) 239-6461
Specialties & Taxonomies
Family Medicine, Sports Medicine
Primary License: IN #01049328A