| |
1025 Manchester Ave Wabash IN 46992-1425 | |
(260) 563-7421 | |
(260) 563-7725 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 1025 Manchester Ave, Wabash, Indiana |
Authorized Official Name and Position | Kim Rene Obanion (OFFICE MANAGER) |
Authorized Official Contact | 2605637421 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1025 Manchester Ave Wabash IN 46992-1425 Ph: (260) 563-7421 | 1025 Manchester Ave Wabash IN 46992-1425 Ph: (260) 563-7421 |
NPI Number | 1578563631 |
---|---|
Provider Enumeration Date | 07/29/2005 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578563631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Indiana) | Primary |
Nustart, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 797 S Wabash St, Wabash, IN 46992 Phone: 260-330-9291 Fax: 260-330-1234 | |
Nustart Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 797 S Wabash St, Wabash, IN 46992 Phone: 260-563-0700 Fax: 260-274-0135 | |
American Health Network Of Indiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 276 Manchester Ave, Wabash, IN 46992 Phone: 260-563-2126 Fax: 260-563-2120 | |