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 1659955540. The provider is registered as an organization entity type.
The provider Is Doing Business As Monarch Well Works Powered By Premise Health.
The provider's business location address is:
430 FINTAIL DR
INDIANAPOLIS, IN
ZIP 46219-207
Phone: (317) 612-3193
Fax: (317) 612-3270
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 15D2176524 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/7/2021 and was last updated on 4/1/2024.