| Wabash Valley Internal Medicine Llc | |
|
6898 N County Road 375 W Brazil IN 47834-7262 | |
| (812) 448-1701 | |
| Not Available |
| Full Name | Wabash Valley Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6898 N County Road 375 W, Brazil, Indiana |
| Authorized Official Name and Position | John A Bolinger (OWNER) |
| Authorized Official Contact | 8124481701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wabash Valley Internal Medicine Llc 6898 N County Road 375 W Brazil IN 47834-7262 Ph: (812) 448-1701 | Wabash Valley Internal Medicine Llc 6898 N County Road 375 W Brazil IN 47834-7262 Ph: (812) 448-1701 |
| NPI Number | 1669543260 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669543260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 02001231 (Indiana) | Primary |
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