institution
Beacon Medical Group
Urology Physician in South Bend, Indiana
NPI 1689627812

Beacon Medical Group is a Urology Physician based in South Bend, IN. Beacon Medical Group practices in South Bend, IN. The NPI Number for Beacon Medical Group is 1689627812 and holds a License No. 01024987A (Indiana).

The current practice location address for Beacon Medical Group is 100 Navarre Pl, South Bend, IN and can be reached out via phone at 574-647-4535. You can also correspond with Beacon Medical Group through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1610).

Location: 100 Navarre Pl, South Bend, IN, 46617-1924
institution
Provider Profile Details
NPI Number
1689627812
Provider Name
Beacon Medical Group
Credential
Provider Entity Type
Organization
Address
100 Navarre Pl, South Bend, IN, 46617-1924
Phone Number
574-647-4535
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15D1038973 01 IN CLIA NUMBER
institution
Provider Business Practice Location Address Details
Address
100 Navarre Pl
City
State
Zip
46601-1156
Phone Number
574-647-4535
Fax Number
person
Provider Business Mailing Address Details
Address
100 Navarre Pl
City
State
Zip
46601-1156
Phone Number
574-647-4535
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
01024987A (Indiana)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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