| Medstat Llc | |
|
1500 Provident Dr Ste A Warsaw IN 46580-3297 | |
| (574) 372-7637 | |
| Not Available |
| Full Name | Medstat Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1500 Provident Dr Ste A, Warsaw, Indiana |
| Authorized Official Name and Position | Megan Martin (VICE PRESIDENT) |
| Authorized Official Contact | 5743727638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medstat Llc 1500 Provident Dr Ste A Warsaw IN 46580-3297 Ph: (574) 372-7637 | Medstat Llc 1500 Provident Dr Ste A Warsaw IN 46580-3297 Ph: (574) 372-7637 |
| NPI Number | 1437689783 |
|---|---|
| Provider Enumeration Date | 06/19/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437689783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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