Organization
ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.
Active
Other names
Mercy Occupational Health
Organization subpart
No
Provider details
NPI number
Authorized official
D. BRUCE HAGA (VICE PRESIDENT)
(317) 583-3087
Entity
Organization
Contact information
Practice address
7408 W STATE ROAD 28, ELWOOD, IN 46036-8600
(765) 557-2245
Mailing address
10330 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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