Black Clover Holdings LLC
Black Clover Holdings LLC provides General Practice Physician services in Granger, Indiana. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7225 Heritage Square Dr Ste 240Granger, IN 46530-5646
Phone: (574) 369-9102
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1063397867 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joshua Lederer — Partner · (574) 369-9102 |
| Other names | Medi Weight Loss Mishawaka |
| NPI enumerated | August 11, 2025 |
| Last updated in NPPES | August 11, 2025 |
| Certification date | August 10, 2025 |
| Mailing address | 54863 Northbridge West Ct, Osceola, IN 46561-1309 |