| Parker Family Medicine, P.c. | |
|
222 S Monticello St Winamac IN 46996-1543 | |
| (574) 946-3245 | |
| (574) 946-3383 |
| Full Name | Parker Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 222 S Monticello St, Winamac, Indiana |
| Authorized Official Name and Position | Paul John Russo (DOCTOR) |
| Authorized Official Contact | 5749463245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Family Medicine, P.c. 222 S Monticello St Winamac IN 46996-1543 Ph: (574) 946-3245 | Parker Family Medicine, P.c. 222 S Monticello St Winamac IN 46996-1543 Ph: (574) 946-3245 |
| NPI Number | 1770752099 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 11/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770752099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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