| Allman Family Practice,p.c. | |
|
613 Terrace Dr Winamac IN 46996-1111 | |
| (574) 946-6677 | |
| (574) 946-7801 |
| Full Name | Allman Family Practice,p.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 613 Terrace Dr, Winamac, Indiana |
| Authorized Official Name and Position | Rex A Allman (PHYSICIAN) |
| Authorized Official Contact | 5749466677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allman Family Practice,p.c. 613 Terrace Dr P.o. Box 70 Winamac IN 46996-1111 Ph: (574) 946-6677 | Allman Family Practice,p.c. 613 Terrace Dr Winamac IN 46996-1111 Ph: (574) 946-6677 |
| NPI Number | 1235357476 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 02/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235357476 | NPI | - | NPPES |
| 100210650 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01031116A (Indiana) | Primary |
Brian A Johnson Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Terrace Dr, Winamac, IN 46996 Phone: 574-946-6644 | |
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