Organization
FRANCISCAN PHYSICIAN NETWORK
Active
Other names
MDPP
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA PHALEN (DIRECTOR)
(219) 554-4548
Entity
Organization
Contact information
Practice address
1116 N 16TH ST, LAFAYETTE, IN 47904-2119
(765) 428-5850
(765) 428-5851
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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