Martha Ann Taylor | |
105 Hendron Hills Dr Vincennes IN 47591-3638 | |
(586) 909-1632 | |
Not Available |
Full Name | Martha Ann Taylor |
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Speciality | Family Medicine - Sports Medicine |
Location | 105 Hendron Hills Dr, Vincennes, Indiana |
Authorized Official Name and Position | Martha Ann Taylor (OWNER) |
Authorized Official Contact | 5869091632 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Martha Ann Taylor 105 Hendron Hills Dr Vincennes IN 47591-3638 Ph: (586) 909-1632 | Martha Ann Taylor 105 Hendron Hills Dr Vincennes IN 47591-3638 Ph: (586) 909-1632 |
NPI Number | 1457652992 |
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Provider Enumeration Date | 11/16/2010 |
Last Update Date | 11/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457652992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 01066927A (Indiana) | Primary |
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