Dr TED J CRISMAN is a male medical professional, specializing in Family Medicine. He graduated in 1980 from Indiana University School Of Medicine.
LUTHERAN MEDICAL GROUP LLC
401 S BROAD ST
B
FREMONT
IN
467372114
Tel: 2604959803
| Npi | 1437263944 |
| Pac Id | 2365443256 |
| Professional Enrollment Id | I20080702000007 |
| Last Name | CRISMAN |
| First Name | TED |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
| Group Practice Pac Id | 4981751617 |
| Number Of Group Practice Members | 227 |
| Line 1 Street Address | 401 S BROAD ST |
| Line 2 Street Address | B |
| Marker Of Address Line 2 Suppression | |
| City | FREMONT |
| State | IN |
| Zip Code | 467372114 |
| Phone Number | 2604959803 |
| Hospital Affiliation Ccn 1 | 151315 |
| Hospital Affiliation Lbn 1 | CAMERON MEMORIAL COMMUNITY HOSPITAL INC |
| Hospital Affiliation Ccn 2 | 150146 |
| Hospital Affiliation Lbn 2 | PARKVIEW NOBLE HOSPITAL |
| Hospital Affiliation Ccn 3 | 150150 |
| Hospital Affiliation Lbn 3 | DUPONT HOSPITAL LLC |
| Hospital Affiliation Ccn 4 | 230022 |
| Hospital Affiliation Lbn 4 | COMMUNITY HEALTH CENTER OF BRANCH COUNTY |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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