Organization
DIAGNOSTIC MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONDA ALDRIDGE FNP (PARTNER)
(574) 936-2643
Entity
Organization
Contact information
Practice address
113 N MICHIGAN ST, PLYMOUTH, IN 46563-2132
(574) 250-3178
(574) 250-3178
Mailing address
113 N MICHIGAN ST, PLYMOUTH, IN 46563-2132
(574) 936-2643
(574) 540-4001
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
50004231
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110207420
MEDICARE RAILROAD
IN
05
—
200281260
—
IN
Enumeration date
09/20/2006
Last updated
06/28/2023
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