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Organization

GOSHEN FAMILY PHYSICIANS

Active
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Organization

GOSHEN FAMILY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHY E MCCLANE (CREDENTIALING COORDINATOR)
(574) 534-0050
Entity
Organization

Contact information

Practice address
1811 CHARLTON CT, GOSHEN, IN 46526-6464
(574) 534-8200
(574) 534-0411
Mailing address
1811 CHARLTON CT, GOSHEN, IN 46526-6464
(574) 534-8200
(574) 534-0411

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
10/24/2006
Last updated
02/01/2024
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