# MEDICAL CENTER FOR JOINT RESTORATION AND REGENERATIVE MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194316596
- **Authorized official:** MS. ERIKA ESTHER GIRON (OWNER)
- **Authorized official phone:** (812) 822-1516

## Contact information

- **Practice address:** 3900 S WALNUT ST STE A, BLOOMINGTON, IN 47401-7331
- **Practice address phone:** (812) 822-1516
- **Mailing address:** 3900 S WALNUT ST STE A, BLOOMINGTON, IN 47401-7331
- **Mailing address phone:** (812) 822-1516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2021
- **Last updated:** 06/29/2021