| Oetter Family Medical Corp | |
|
401 Wall St Valparaiso IN 46383-2521 | |
| (219) 281-1729 | |
| Not Available |
| Full Name | Oetter Family Medical Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Wall St, Valparaiso, Indiana |
| Authorized Official Name and Position | Kendell Lynn Oetter (PHYSICIAN) |
| Authorized Official Contact | 2197896704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oetter Family Medical Corp 401 Wall St Suite B Valparaiso IN 46383-2521 Ph: (219) 281-1729 | Oetter Family Medical Corp 401 Wall St Valparaiso IN 46383-2521 Ph: (219) 281-1729 |
| NPI Number | 1619343019 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619343019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02001332A (Indiana) | Primary |
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