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957 N Michigan Ave Greensburg IN 47240-1487 | |
| (812) 663-5533 | |
| (812) 662-7307 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 957 N Michigan Ave, Greensburg, Indiana |
| Authorized Official Name and Position | Mary R. Mccullough (PRESIDENT/MD) |
| Authorized Official Contact | 81126637277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
957 N Michigan Ave Greensburg IN 47240-1487 Ph: (812) 663-5533 | 957 N Michigan Ave Greensburg IN 47240-1487 Ph: (812) 663-5533 |
| NPI Number | 1427090737 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427090737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Indiana) | Primary |
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