| Deaconess Family Medicine Residency | |
|
415 W Columbia St Ste 110 Evansville IN 47710-1656 | |
| (812) 450-3363 | |
| (812) 450-3071 |
| Full Name | Deaconess Family Medicine Residency |
|---|---|
| Speciality | Family Medicine |
| Location | 415 W Columbia St Ste 110, Evansville, Indiana |
| Authorized Official Name and Position | Cheryl A Wathen (CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Family Medicine Residency Po Box 3407 Evansville IN 47733-3407 Ph: (812) 450-6815 | Deaconess Family Medicine Residency 415 W Columbia St Ste 110 Evansville IN 47710-1656 Ph: (812) 450-3363 |
| NPI Number | 1629097639 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629097639 | NPI | - | NPPES |
| 100241900 | Medicaid | IN |
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