C. Bryan Wait, M.d., Internal Medicine,p.c. | |
360 N Oak St Columbia City IN 46725-1608 | |
(260) 244-0238 | |
(260) 244-1976 |
Full Name | C. Bryan Wait, M.d., Internal Medicine,p.c. |
---|---|
Speciality | Internal Medicine |
Location | 360 N Oak St, Columbia City, Indiana |
Authorized Official Name and Position | Calvert Bryan Wait (PHYSICIAN/OWNER) |
Authorized Official Contact | 2602440238 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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C. Bryan Wait, M.d., Internal Medicine,p.c. 360 N Oak St Columbia City IN 46725-1608 Ph: (260) 244-0238 | C. Bryan Wait, M.d., Internal Medicine,p.c. 360 N Oak St Columbia City IN 46725-1608 Ph: (260) 244-0238 |
NPI Number | 1841423027 |
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Provider Enumeration Date | 09/03/2009 |
Last Update Date | 01/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841423027 | NPI | - | NPPES |
200963590 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 50005079A (Indiana) | Primary |