# SIGMA MEDICAL GROUP

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

## Provider details

- **NPI number:** 1982637336
- **Authorized official:** JOYCE MINICK (PHYSICIAN PRACTICE MANAGER)
- **Authorized official phone:** (765) 449-5080

## Contact information

- **Practice address:** 915 SAGAMORE PKWY W, WEST LAFAYETTE BRA, IN 47906-1443
- **Practice address phone:** (765) 449-5080
- **Practice address fax:** (765) 449-5086
- **Mailing address:** 2323 FERRY ST, SUITE 104, LAFAYETTE, IN 47904-3054
- **Mailing address phone:** (765) 449-5080
- **Mailing address fax:** (765) 449-5086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | 01060593 | IN | Yes |
| 208000000X | Pediatrics Physician | 01060593 | IN | — |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 09/11/2025
