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Organization

FMMG HARRISON FAMILY MEDICINE LLC

Active
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Organization

FMMG HARRISON FAMILY MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL EICHENBERGER (PRESIDENT / CEO)
(812) 948-7632
Entity
Organization

Contact information

Practice address
313 FEDERAL DR NW, SUITE 200, CORYDON, IN 47112-3070
(812) 738-4155
(812) 738-6104
Mailing address
313 FEDERAL DR NW, SUITE 200, CORYDON, IN 47112-3070
(812) 738-4155
(812) 738-6104

Taxonomy

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

Other

Enumeration date
06/01/2011
Last updated
05/26/2016
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