# PIC INDIANA PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physicians Immediate Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407193725
- **Authorized official:** JOHN KOEHLER M.D. (OWNER)
- **Authorized official phone:** (815) 713-2625

## Contact information

- **Practice address:** 505 W CLEVELAND RD, MISHAWAKA, IN 46545-1003
- **Practice address phone:** (815) 713-2625
- **Mailing address:** 505 W CLEVELAND RD, MISHAWAKA, IN 46545-1003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2013
- **Last updated:** 01/07/2013