Organization
UNITY PHYSICIAN GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D BISHOP (CEO)
(812) 336-1690
Entity
Organization
Contact information
Practice address
1155 W 3RD ST, BLOOMINGTON, IN 47404-5016
(812) 336-1690
(812) 349-1311
Mailing address
PO BOX 4777, BLOOMINGTON, IN 47402-4777
(812) 336-1690
(812) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IN
261QU0200X
Urgent Care Clinic/Center
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100143140
—
IN
Enumeration date
05/17/2006
Last updated
06/17/2008
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