| NPI | 1235991829 |
|---|---|
| Doing Business As | DEACONESS CLINIC - VINEYARD |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |