Graduated: 2025
NPI: 1356290910
Practice Locations (3)
PROVIDENCE MEDICAL GROUP, LLC
2723 S 7TH ST
TERRE HAUTE, IN 478023558
PROVIDENCE MEDICAL GROUP, LLC
2723 S 7TH ST A
TERRE HAUTE, IN 478023558
PROVIDENCE MEDICAL GROUP, LLC
2723 S 7TH ST C
TERRE HAUTE, IN 478023558
8122325936
Source: CMS National Downloadable File, September 2026.