| C. Bryan Wait, M.d., Internal Medicine, P.c. | |
|
2003 Stults Rd John B. Kay Mob, Suite 110 Huntington IN 46750-1291 | |
| (260) 244-0238 | |
| (260) 244-1976 |
| Full Name | C. Bryan Wait, M.d., Internal Medicine, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2003 Stults Rd, Huntington, 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 |
|---|---|
| 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. 2003 Stults Rd John B. Kay Mob, Suite 110 Huntington IN 46750-1291 Ph: (260) 244-0238 |
| NPI Number | 1902114655 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 02/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902114655 | NPI | - | NPPES |
| 200963590B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01032361 (Indiana) | Primary |
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