| Portage Medical Group | |
|
3630 Willowcreek Rd Portage IN 46368-5075 | |
| (219) 759-5791 | |
| (219) 759-3807 |
| Full Name | Portage Medical Group |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 3630 Willowcreek Rd, Portage, Indiana |
| Authorized Official Name and Position | Cheryl Hammond (CFO) |
| Authorized Official Contact | 2193643660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Medical Group 26700 Brookpark Road Ext Suite 1 North Olmsted OH 44070-3124 Ph: (800) 611-6912 | Portage Medical Group 3630 Willowcreek Rd Portage IN 46368-5075 Ph: (219) 759-5791 |
| NPI Number | 1558322982 |
|---|---|
| Provider Enumeration Date | 03/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558322982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
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