Organization
ST. VINCENT PHYSICIAN NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D. BRUCE HAGA (VICE PRESIDENT)
(317) 583-3087
Entity
Organization
Contact information
Practice address
1258 OAK ST, SUITE A, FRANKFORT, IN 46041-3377
(765) 656-3830
Mailing address
2530 RELIABLE PKWY, CHICAGO, IL 60686-0025
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/08/2008
Last updated
07/14/2009
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