| NPI | 1811144793 |
|---|---|
| Other Name | WAYNE FAMILY HEALTH |
| Entity Type | Organization |
| Authorized Contact | ANGELA J DICKMAN Secretary/Treasurer 765-983-3421 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2009-02-26 |