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Organization
EPMG OF INDIANA, PC
Active
Organization
EPMG OF INDIANA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VINEYARD (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(469) 401-2386
Mailing address
2000 GREEN RD, ANN ARBOR, MI 48105-1575
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
06/24/2006
Last updated
09/12/2019
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