BEACON MEDICAL GROUP, INC.
Organization (NPI-2)
Active
Preventive Medicine, Aerospace Medicine
Provider Information
- NPI Number
1780856724- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2301 N BENDIX DR SUITE 500, SOUTH BEND, IN, 466283486
- Phone
- (574) 647-1675
- Fax
- (574) 232-5595
Specialties & Taxonomies
Nurse Practitioner, Family
License: IN #71000502A
Preventive Medicine, Aerospace Medicine
Primary License: IN #01047560A