ICP PPO, LLC

Preferred Provider Organization · SOUTH BEND, IN

Organization Active NPI 1407443617

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Preferred Provider Organization305R00000X
Specialist174400000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.