# PINNACLE MEDICAL GROUP

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

## Provider details

- **NPI number:** 1629371117
- **Authorized official:** MR. MICHAEL A SPITE (PRESIDENT)
- **Authorized official phone:** (574) 514-1785

## Contact information

- **Practice address:** 403 W 81ST AVE, MERRILLVILLE, IN 46410-5317
- **Practice address phone:** (219) 756-6600
- **Mailing address:** 1011 HERMAN ST, ELKHART, IN 46516-9029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | 05008951A | IN | — |
| 207QA0505X | Adult Medicine Physician | 01040540A | IN | Yes |
| 363LF0000X | Family Nurse Practitioner | 71002234A | IN | — |

## Other

- **Enumeration date:** 12/06/2010
- **Last updated:** 12/06/2010