FOUR SEASONS MEDICAL CENTER P.C. NPI 1598817702

NPI Information

FOUR SEASONS MEDICAL CENTER, P.C. is a primary care clinic center in Merrillville, IN. FOUR SEASONS MEDICAL CENTER, P.C. NPI is 1598817702. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Health And Wellness Centre, Ltd.

The provider's business location address is:

8683 CONNECTICUT ST
SUITE B
MERRILLVILLE, IN
ZIP 46410-388
Phone: (219) 736-1022
Fax: (219) 769-7554

The provider's authorized official is John Stewart Brown .
The authorized official title is President and has the following contact phone number (219) 736-1022.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 6/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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