Organization
INDIANA UNIVERSITY HEALTH CENTER
Active
Parent organization
INDIANA UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA UNIVERSITY
Authorized official
MR. PETER L GROGG MHA (ASSOCIATE DIRECTOR)
(812) 855-6511
Entity
Organization
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-6511
(812) 855-4628
Mailing address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-6511
(812) 855-4628
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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