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Organization

PREMIER HOSPITALIST PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMERIC PALMER MD (PHYSICIAN/OWNER)
(708) 288-3452
Entity
Organization

Contact information

Practice address
600 GRANT ST, GARY, IN 46402-6001
(708) 288-3452
(708) 401-0050
Mailing address
PO BOX 1047, CROWN POINT, IN 46308-1047
(708) 288-3452
(708) 401-0050

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01049154
IN
208M00000X
Hospitalist Physician
01049154
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200289700
IN
Enumeration date
09/22/2008
Last updated
09/30/2009
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