Organization · Type 2 NPI

Deaconess Memorial Medical Center Inc

Family Medicine Physician · Leavenworth, IN

NPI number 1972877280 Active

Practice location

6402 E Industrial Lane
Leavenworth, IN 47137-8316

Mailing address

P O Box 1028
Jasper, IN 47547-1028

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1972877280

Deaconess Memorial Medical Center Inc's National Provider Identifier is 1972877280, issued on Mar 5, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Leavenworth, IN. The record was last updated on Aug 27, 2025.