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Organization

GRANGER VILLAGE DOCTOR PC

Active
Other names
The Granger Village Doctor, PC
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE M. ORTEGA-SCHMITT MD (OWNER)
(574) 243-8600
Entity
Organization

Contact information

Practice address
50740 PRINCESS WAY, SUITE 600, GRANGER, IN 46530-4339
(574) 243-8600
(574) 243-8601
Mailing address
PO BOX 540, GRANGER, IN 46530-0540
(574) 243-8600
(574) 243-8601

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
02/19/2008
Last updated
06/30/2011
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