BEACON MEDICAL GROUP, INC.
Neurology at Fulton St, Elkhart, IN

License number
Indiana 01071397A
Category
Osteopathic Medicine
Type
Pulmonary Disease
License number
Indiana 01071397A
Category
Neurology
Type
Neurology
Owner
Name: MR. JEFFREY P COSTELLO
Title: CFO
Phone: (574) 647-3549
Address
Address
1753 Fulton St, Elkhart, IN 46514
National Provider ID: 1295087500
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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