| NPI | 1013519396 |
|---|---|
| Doing Business As | DEACONESS CLINIC - MEMORIAL |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2021-04-07 |