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Organization
MIDDLEBURY URGENT CARE &OCCMED, P.C.
Active
Organization
MIDDLEBURY URGENT CARE &OCCMED, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVENS C MARSHALL D.O. (PRESIDENT/PHYSICIAN)
(574) 825-8184
Entity
Organization
Contact information
Practice address
407 N MAIN ST, MIDDLEBURY, IN 46540-9218
(574) 825-8184
(574) 825-6176
Mailing address
407 N MAIN ST, MIDDLEBURY, IN 46540-9218
(574) 825-8184
(574) 825-6176
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02001282A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396740585
NATIONAL PROVIDER IDENTIF
IN
Enumeration date
03/29/2006
Last updated
08/22/2020
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