PREMISE HEALTH OF INDIANA MEDICAL, P.C. is a multi-specialty clinic center in Indianapolis, IN. PREMISE HEALTH OF INDIANA MEDICAL, P.C. NPI is 1063818771. The provider is registered as an organization entity type.
The provider Is Doing Business As Roche Wellness Center.
The provider's business location address is:
9115 HAGUE RD
INDIANAPOLIS, IN
ZIP 46256-025
Phone: (317) 521-3600
Fax: (317) 521-4435
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 15D0723678 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/6/2014 and was last updated on 8/25/2022.