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1152 E Us Highway 36 Bainbridge IN 46105-9604 | |
(765) 522-1889 | |
(765) 522-3583 |
Full Name | |
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Speciality | Family Medicine |
Location | 1152 E Us Highway 36, Bainbridge, Indiana |
Authorized Official Name and Position | Heather Rutherford (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 3178375566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1100 Southfield Dr Suite 1370 Plainfield IN 46168-4498 Ph: (317) 837-5571 | 1152 E Us Highway 36 Bainbridge IN 46105-9604 Ph: (765) 522-1889 |
NPI Number | 1306141163 |
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Provider Enumeration Date | 01/25/2011 |
Last Update Date | 05/28/2024 |
Identifier | Type | State | Issuer |
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1306141163 | NPI | - | NPPES |