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Organization
WEST MAIN STREET MEDICAL CENTER PC
Active
Organization
WEST MAIN STREET MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DAVID RHEUBLE M.D (OWNER/PHYSICIAN)
(765) 965-6679
Entity
Organization
Contact information
Practice address
4760 WEST US 40, RICHMOND, IN 47374
(765) 965-6679
Mailing address
4760 WEST US 40, RICHMOND, IN 47374
(765) 965-6679
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
01034479
IN
Other
Enumeration date
04/15/2010
Last updated
08/09/2010
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