Marion Family Practice Llc | |
1391 N Baldwin Ave Marion IN 46952-1913 | |
(765) 662-2534 | |
(765) 671-7793 |
Full Name | Marion Family Practice Llc |
---|---|
Speciality | Family Medicine |
Location | 1391 N Baldwin Ave, Marion, Indiana |
Authorized Official Name and Position | James M Orrell (OWNER/TREASURER) |
Authorized Official Contact | 7656717740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marion Family Practice Llc 1391 N Baldwin Ave Marion IN 46952-1913 Ph: (765) 662-2534 | Marion Family Practice Llc 1391 N Baldwin Ave Marion IN 46952-1913 Ph: (765) 662-2534 |
NPI Number | 1730128018 |
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Provider Enumeration Date | 06/05/2006 |
Last Update Date | 03/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730128018 | NPI | - | NPPES |
100122920 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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