Organization
PIC INDIANA PC
Active
Other names
Physicians Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KOEHLER M.D. (OWNER)
(815) 713-2625
Entity
Organization
Contact information
Practice address
505 W CLEVELAND RD, MISHAWAKA, IN 46545-1003
(815) 713-2625
Mailing address
505 W CLEVELAND RD, MISHAWAKA, IN 46545-1003
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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