NPI 1124342407

Advanced Internal Medicine LLC

Organisation Primary Care Clinic/Center Peru, IN

Practice location

Address: 302 N Duke St, Peru, IN 46970-1520
Phone: (765) 472-3944
Fax: (765) 472-3945
Mailing address: 302 N Duke St P.O. Box 368, Peru, IN 46970-1520

Authorised official

Name: Gregory a Quin
Title: Owner
Phone: (765) 472-3944

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 01045818 (IN)

Other Clinic/Center providers in Indiana →

Registry record

NPI: 1124342407
Entity type: Organization
NPI issued: 16 Mar 2010
Record last updated: 19 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.