| Greencastle Wound & Diabetic Foot Care Clinic, Llc | |
|
305 Medic Way Greencastle IN 46135-2296 | |
| (765) 720-7085 | |
| Not Available |
| Full Name | Greencastle Wound & Diabetic Foot Care Clinic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 305 Medic Way, Greencastle, Indiana |
| Authorized Official Name and Position | Amelia Estalilla-quiz (OWNER/PRESIDENT) |
| Authorized Official Contact | 7657207085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greencastle Wound & Diabetic Foot Care Clinic, Llc 305 Medic Way Greencastle IN 46135-2296 Ph: (765) 720-7085 | Greencastle Wound & Diabetic Foot Care Clinic, Llc 305 Medic Way Greencastle IN 46135-2296 Ph: (765) 720-7085 |
| NPI Number | 1942483896 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942483896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 71002412A (Indiana) | Primary |
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