Graduated: 2020
NPI: 1821615485
Practice Locations (2)
IMPACT PHYSICIAN GROUP INDIANA LLC
3050 N LINTEL DR
BLOOMINGTON, IN 474048945
8123362815
IMPACT PHYSICIAN GROUP INDIANA LLC
13219 N MERIDIAN ST
CARMEL, IN 460325480
8478216828
Source: CMS National Downloadable File, September 2026.