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Organization
PREMISE HEALTH OF INDIANA MEDICAL PC
Active
Organization
PREMISE HEALTH OF INDIANA MEDICAL PC
Active
Other names
USS Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(615) 468-6270
Entity
Organization
Contact information
Practice address
251 W 84TH DR, MERRILLVILLE, IN 46410-6243
(219) 756-4343
(219) 756-4382
Mailing address
5500 MARYLAND WAY, ATTN: CBO, BRENTWOOD, TN 37027-4948
(800) 830-4255
(615) 296-0151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
10/29/2024
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