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Organization
MICHIANA CONCIERGE FAMILY MEDICINE
Active
Organization
MICHIANA CONCIERGE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA JIMENEZ-MARTINEZ NURSE PRACTITIONER (OWNER)
(574) 546-0654
Entity
Organization
Contact information
Practice address
1217 W PLYMOUTH ST, BREMEN, IN 46506-1930
(574) 546-0654
(888) 815-1434
Mailing address
1217 W PLYMOUTH ST, BREMEN, IN 46506-1930
(574) 546-0654
(888) 815-1434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
01/27/2023
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