Organization
PINNACLE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A SPITE (PRESIDENT)
(574) 514-1785
Entity
Organization
Contact information
Practice address
403 W 81ST AVE, MERRILLVILLE, IN 46410-5317
(219) 756-6600
Mailing address
1011 HERMAN ST, ELKHART, IN 46516-9029
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
05008951A
IN
207QA0505X
Adult Medicine Physician
Primary
01040540A
IN
363LF0000X
Family Nurse Practitioner
71002234A
IN
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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