ST MARY'S MEDICAL GROUP LLC NPI 1619307873

NPI Information

ST MARY'S MEDICAL GROUP, LLC is a nephrology internal medicine in Evansville, IN. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. ST MARY'S MEDICAL GROUP, LLC NPI is 1619307873. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ascension Medical Group St. Vincent Evansville.

The provider's business location address is:

3700 WASHINGTON AVE
EVANSVILLE, IN
ZIP 47750-001
Phone: (812) 485-4000

The provider's authorized official is William J Millikan .
The authorized official title is Ceo and has the following contact phone number (812) 485-4000.

The enumeration date for this NPI number is 11/25/2013 and was last updated on 6/29/2020.

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:

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