Organization · Type 2 NPI
Beacon Medical Group, Inc.
Cardiovascular Disease Physician · Lagrange, IN
NPI number
1487061131
Active
Practice location
2400 N Ventura Way
Lagrange, IN 46761-4101
Fax (574) 296-6522
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | None listed |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
About NPI 1487061131
Beacon Medical Group, Inc.'s National Provider Identifier is 1487061131, issued on Jul 15, 2014. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Lagrange, IN. The record was last updated on Aug 30, 2016.