NPI | 1710140405 |
---|---|
Doing Business As | WABASH FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | JANE M BISSEL Chief Financial Officer 260-569-2247 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2008-07-03 |
Last Update Date | 2011-10-14 |