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Organization
CHURUBUSCO FAMILY MEDICINE & URGENT CARE
Active
Organization
CHURUBUSCO FAMILY MEDICINE & URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE BANNISTER (OFFICE MANAGER)
(260) 693-3700
Entity
Organization
Contact information
Practice address
202 WEST WHITLEY STREET, CHURUBUSCO, IN 46723
(260) 693-3700
(260) 693-1005
Mailing address
202 WEST WHITLEY STREET, CHURUBUSCO, IN 46723
(260) 693-3700
(260) 693-1005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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