| NPI | 1205078722 |
|---|---|
| Doing Business As | DEACONESS CLINIC I |
| Entity Type | Organization |
| Authorized Contact | CHERYL A WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207QB0002X Family Medicine, Bariatric Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2022-03-25 |