Organization
COMPASS LIFE INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RUNION (OFFICE MANAGER)
(219) 803-4145
Entity
Organization
Contact information
Practice address
8733 W 400 N, MICHIGAN CITY, IN 46360-9330
(219) 363-7904
Mailing address
8733 W 400 N, MICHIGAN CITY, IN 46360-9330
(219) 803-4145
(855) 502-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
01/10/2020
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