| Our Clinic @braun | |
|
144 S 100 W Winamac IN 46996-7711 | |
| (574) 355-3111 | |
| (574) 217-4825 |
| Full Name | Our Clinic @braun |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 144 S 100 W, Winamac, Indiana |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Clinic @braun 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Our Clinic @braun 144 S 100 W Winamac IN 46996-7711 Ph: (574) 355-3111 |
| NPI Number | 1851065700 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851065700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Ourclinic @ Braun Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 S. County Road 100 W, Winamac, IN 46996 Phone: 574-355-3111 | |
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