# PATHWAY FAMILY MEDICINE PC

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

## Provider details

- **NPI number:** 1346897956
- **Authorized official:** STEPHEN K. ROGERS MD (OWNER)
- **Authorized official phone:** (574) 297-1268

## Contact information

- **Practice address:** 301 W HARRISON ST, MONTICELLO, IN 47960-2211
- **Practice address phone:** (574) 240-1111
- **Practice address fax:** (574) 240-1113
- **Mailing address:** 407 LONGTREE LN, LOGANSPORT, IN 46947-2427
- **Mailing address phone:** (574) 297-1268
- **Mailing address fax:** (574) 240-1113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2019
- **Last updated:** 08/20/2019