Organization · Type 2 NPI
360 Integrated Medical Center, PC
General Practice Physician · La Porte, IN
NPI number
1710459458
Active
Practice location
2504 Monroe St
La Porte, IN 46350-5241
Fax (219) 326-0180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
4 other providers at this address
About NPI 1710459458
360 Integrated Medical Center, PC's National Provider Identifier is 1710459458, issued on Dec 19, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in La Porte, IN. The record was last updated on Dec 19, 2018.