Organization
PREMISE HEALTH OF INDIANA MEDICAL PC
Active
Other names
USS Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(615) 468-6270
Entity
Organization
Contact information
Practice address
251 W 84TH DR, MERRILLVILLE, IN 46410-6243
(219) 756-4343
(219) 756-4382
Mailing address
5500 MARYLAND WAY, ATTN: CBO, BRENTWOOD, TN 37027-4948
(800) 830-4255
(615) 296-0151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
10/29/2024
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