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 |