Organization
AIXSA PEREZ M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIXSA PEREZ M D (OWNER)
(574) 675-9630
Entity
Organization
Contact information
Practice address
1712 LINCOLNWAY W, SUITE A, OSCEOLA, IN 46561-1933
(574) 675-9630
Mailing address
1712 LINCOLNWAY W, SUITE A, OSCEOLA, IN 46561-1933
(574) 675-9630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01049434A
IN
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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