Organization
OURHEALTH PHYSICIAN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MICHAEL WELLS (PRESIDENT)
(317) 522-0823
Entity
Organization
Contact information
Practice address
46 UNION AVE, AUSTIN, IN 47102-1344
(866) 434-3255
Mailing address
4151 E 96TH ST, INDIANAPOLIS, IN 46240-1442
(866) 434-3255
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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