| NPI | 1134725898 |
|---|---|
| Doing Business As | DEACONESS CLINIC - MOB 6 |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2024-11-07 |