# FIELD & FOREST MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JOHN L WHEAT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245742808
- **Authorized official:** DR. JOHN LEN WHEAT MD (OWNER)
- **Authorized official phone:** (765) 592-3399

## Contact information

- **Practice address:** 302 VINE ST, CLINTON, IN 47842-2161
- **Practice address phone:** (765) 592-3381
- **Practice address fax:** (765) 820-1105
- **Mailing address:** PO BOX 545, CLINTON, IN 47842-0545
- **Mailing address phone:** (765) 592-3381
- **Mailing address fax:** (765) 592-3399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 01078016A | IN | Yes |

## Other

- **Enumeration date:** 11/03/2017
- **Last updated:** 12/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000001128857 | ANTHEM | IN |
| 05 | — | 300020656 | — | IN |