Organization · Type 2 NPI

Beacon Medical Group, Inc.

Gynecologic Oncology Physician · South Bend, IN

NPI number 1821482431 Active

Practice location

100 Navarre Pl Ste 4470
South Bend, IN 46601-1168

Fax (574) 647-4235

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician Primary 207VX0201XNone listed

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

13 other providers at this address

About NPI 1821482431

Beacon Medical Group, Inc.'s National Provider Identifier is 1821482431, issued on Mar 20, 2015. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in South Bend, IN. The record was last updated on Apr 28, 2023.