Wagoner Medical Center, Llc | |
2016 W Sycamore Kokomo IN 46901 | |
(765) 566-3303 | |
Not Available |
Full Name | Wagoner Medical Center, Llc |
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Speciality | Family Medicine |
Location | 2016 W Sycamore, Kokomo, Indiana |
Authorized Official Name and Position | Michelle Wagoner (ADMINISTRATOR) |
Authorized Official Contact | 7655663303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wagoner Medical Center, Llc 605 E 7th Street Burlington IN 46915-0038 Ph: (765) 566-3351 | Wagoner Medical Center, Llc 2016 W Sycamore Kokomo IN 46901 Ph: (765) 566-3303 |
NPI Number | 1245458355 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 05/15/2009 |
Identifier | Type | State | Issuer |
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1245458355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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Eric J. Heathers Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3508 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-5704 Fax: 765-864-5720 | |
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Sycamore Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3109 W Sycamore St, Kokomo, IN 46901 Phone: 765-457-8381 Fax: 765-457-4443 | |
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