Organization
ELKHART CLINIC, LLC
Active
Other names
Medical Oncology and Hematology at Elkhart Clinic Main
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PORSCHE MD (MANAGING PARTNER)
(574) 296-3200
Entity
Organization
Contact information
Practice address
2117 W LEXINGTON AVE, ELKHART, IN 46514-1423
(574) 296-3444
(574) 296-3328
Mailing address
PO BOX 2968, ELKHART, IN 46515-2968
(574) 296-3200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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