Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Internal Medicine & Aesthetics

Organization Internal Medicine Physician · NPI 1780442103

Internal Medicine & Aesthetics is an Internal Medicine Physician in Portage, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6505 Constitution Blvd
Portage, MI 49024-1604
Phone: (269) 599-8140
Fax: (269) 324-4329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1780442103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Bergman — Authorized Official · (765) 964-4100
NPI enumeratedMarch 11, 2024
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing addressPo Box 443, Union City, IN 47390-0443

Other providers in Portage