Organization
PREMIER INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE MOKFI MD (OWNER)
(574) 400-0668
Entity
Organization
Contact information
Practice address
520 PARK PLACE CT STE 300, MISHAWAKA, IN 46545-3581
(574) 400-0668
Mailing address
14533 SEDGWICK CT, GRANGER, IN 46530-4870
(574) 400-0668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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