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Organization
MAIN STREET CLINIC
Active
Organization
MAIN STREET CLINIC
Active
Other names
Wells Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J. GREENMAN M.D. (M.D/CEO-PRESIDENT)
(260) 824-9265
Entity
Organization
Contact information
Practice address
117 S MAIN ST, BLUFFTON, IN 46714-2047
(260) 824-9265
(260) 824-9267
Mailing address
117 S MAIN ST, BLUFFTON, IN 46714-2047
(260) 824-9265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01034958
IN
2080A0000X
Pediatric Adolescent Medicine Physician
01034958
IN
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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