| Bonzer Medical, Llc | |
|
4423 S County Road 125 E Greencastle IN 46135-9237 | |
| (765) 653-8453 | |
| (765) 653-8493 |
| Full Name | Bonzer Medical, Llc |
|---|---|
| Speciality | General Practice |
| Location | 4423 S County Road 125 E, Greencastle, Indiana |
| Authorized Official Name and Position | Charlotte Louise Cramer (OFFICE MANAGER) |
| Authorized Official Contact | 7656538453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonzer Medical, Llc 4423 S County Road 125 E Greencastle IN 46135-9237 Ph: (765) 653-8453 | Bonzer Medical, Llc 4423 S County Road 125 E Greencastle IN 46135-9237 Ph: (765) 653-8453 |
| NPI Number | 1083235188 |
|---|---|
| Provider Enumeration Date | 04/29/2020 |
| Last Update Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083235188 | NPI | - | NPPES |
| 200521550 | Medicaid | IN | |
| 02002904A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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