WABASH VALLEY DERMATOLOGY AND MED SPA INC

TERRE HAUTE, IN
NPI1619561479
Entity TypeOrganization
Authorized ContactLINDSAY SUSAN WILSON
President
217-712-9512
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
Enumeration Date2021-02-23
Last Update Date2021-02-23
Business Address
WABASH VALLEY DERMATOLOGY AND MED SPA INC
4949 E POPLAR DR
TERRE HAUTE, IN 47803-2434
Phone number: 217-712-9512
Mailing Address
WABASH VALLEY DERMATOLOGY AND MED SPA INC
18017 N WEAVER RD
MARSHALL, IL 62441-4071
Phone number: 217-712-9512
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