Organization · Type 2 NPI
Granger Village Doctor PC
Primary Care Clinic/Center · Granger, IN
NPI number
1295903748
Active
Practice location
50740 Princess Way, Suite 600
Granger, IN 46530-4339
Fax (574) 243-8601
Mailing address
PO Box 540
Granger, IN 46530-0540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Granger
About NPI 1295903748
Granger Village Doctor PC's National Provider Identifier is 1295903748, issued on Feb 19, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Granger, IN. The record was last updated on Jun 30, 2011.