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Organization
FIELD & FOREST MEDICAL, LLC
Active
Organization
FIELD & FOREST MEDICAL, LLC
Active
Other names
JOHN L WHEAT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LEN WHEAT MD (OWNER)
(765) 592-3399
Entity
Organization
Contact information
Practice address
302 VINE ST, CLINTON, IN 47842-2161
(765) 592-3381
(765) 820-1105
Mailing address
PO BOX 545, CLINTON, IN 47842-0545
(765) 592-3381
(765) 592-3399
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01078016A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001128857
ANTHEM
IN
05
—
300020656
—
IN
Enumeration date
11/03/2017
Last updated
12/10/2024
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