# CURTIS FAMILY PRACTICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316011976
- **Authorized official:** ELIZABETH A CURTIS D.O. (PHYSICIANOWNER)
- **Authorized official phone:** (574) 946-7900

## Contact information

- **Practice address:** 2418 N. CURTIS DRIVE, SUITE B, WINAMAC, IN 46996-8818
- **Practice address phone:** (574) 946-7900
- **Practice address fax:** (574) 946-7936
- **Mailing address:** 2418 N. CURTIS DRIVE, SUITE B, WINAMAC, IN 46996-8818
- **Mailing address phone:** (574) 946-7900
- **Mailing address fax:** (574) 946-7936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02000870B | IN | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 02/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000102868 | BLUE CROSS / BLUE SHIELD | IN |
| 05 | — | 200885120A | — | IN |