# MAIN STREET CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wells Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093217846
- **Authorized official:** JOHN J. GREENMAN M.D. (M.D/CEO-PRESIDENT)
- **Authorized official phone:** (260) 824-9265

## Contact information

- **Practice address:** 117 S MAIN ST, BLUFFTON, IN 46714-2047
- **Practice address phone:** (260) 824-9265
- **Practice address fax:** (260) 824-9267
- **Mailing address:** 117 S MAIN ST, BLUFFTON, IN 46714-2047
- **Mailing address phone:** (260) 824-9265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01034958 | IN | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 01034958 | IN | — |

## Other

- **Enumeration date:** 03/07/2018
- **Last updated:** 03/07/2018