# WYBENGA FAMILY HEALTHCARE, INC.

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

## Provider details

- **NPI number:** 1710998505
- **Authorized official:** DR. MAARTEN A WYBENGA M.D. (OWNER)
- **Authorized official phone:** (334) 358-2010

## Contact information

- **Practice address:** 564 N MEMORIAL DR, PRATTVILLE, AL 36067-2132
- **Practice address phone:** (334) 358-2010
- **Mailing address:** 2257 TAYLOR RD, 200, MONTGOMERY, AL 36117-7790
- **Mailing address phone:** (334) 270-9914
- **Mailing address fax:** (334) 270-3195

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 08/22/2007