Organization
WARSAW MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHAN T KISHAN MD (PARTNER)
(574) 269-3420
Entity
Organization
Contact information
Practice address
2219 DUBOIS DR, WARSAW, IN 46580-3212
(574) 269-3420
(574) 269-2234
Mailing address
2219 DUBOIS DR, WARSAW, IN 46580-3212
(574) 269-3420
(574) 269-2234
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01034706A
IN
208600000X
Surgery Physician
01036480
IN
Other
Enumeration date
05/11/2007
Last updated
03/04/2008
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