| Middlebury Family Physicians, Inc | |
|
206 W. Warren Street Middlebury IN 46540-0459 | |
| (574) 825-2146 | |
| (574) 825-2182 |
| Full Name | Middlebury Family Physicians, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 206 W. Warren Street, Middlebury, Indiana |
| Authorized Official Name and Position | Steven P Wendler (ADMINISTRATOR) |
| Authorized Official Contact | 5748252146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middlebury Family Physicians, Inc Po Box 459 Middlebury IN 46540-0459 Ph: (574) 825-2146 | Middlebury Family Physicians, Inc 206 W. Warren Street Middlebury IN 46540-0459 Ph: (574) 825-2146 |
| NPI Number | 1366464869 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366464869 | NPI | - | NPPES |
| CB2090 | Other | IN | R/R MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Medstaffpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 N Main St, Middlebury, IN 46540 Phone: 574-825-5002 Fax: 574-825-2055 | |
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