| Deaconess Medical Group - Princeton | |
|
105 N 2nd Ave Princeton IN 47670-1005 | |
| (812) 386-6560 | |
| (812) 385-5015 |
| Full Name | Deaconess Medical Group - Princeton |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 N 2nd Ave, Princeton, Indiana |
| Authorized Official Name and Position | Richard M Stivers (SR VICE PRESIDENT, CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Medical Group - Princeton Po Box 3407 Evansville IN 47733-3407 Ph: (812) 450-6815 | Deaconess Medical Group - Princeton 105 N 2nd Ave Princeton IN 47670-1005 Ph: (812) 386-6560 |
| NPI Number | 1023052883 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023052883 | NPI | - | NPPES |
| CG1119 | Other | IN | RR MCARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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