| West Lafayette Internal Medicine | |
|
152 Sagamore Pkwy W West Lafayette IN 47906-1569 | |
| (765) 423-6556 | |
| (765) 423-6024 |
| Full Name | West Lafayette Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 152 Sagamore Pkwy W, West Lafayette, Indiana |
| Authorized Official Name and Position | Mark Wessel (COO) |
| Authorized Official Contact | 7654465417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Lafayette Internal Medicine Po Box 4699 Lafayette IN 47903-4699 Ph: (765) 449-2732 | West Lafayette Internal Medicine 152 Sagamore Pkwy W West Lafayette IN 47906-1569 Ph: (765) 423-6556 |
| NPI Number | 1730498882 |
|---|---|
| Provider Enumeration Date | 10/06/2010 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730498882 | NPI | - | NPPES |
| 200476110 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Indiana) | Primary |
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