Organization
SOUTHERN INDIANA PHYSICIANS FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE WEILER M.D. (OWNER)
(812) 334-3955
Entity
Organization
Contact information
Practice address
1010 W 2ND ST, BLOOMINGTON, IN 47403-2217
(812) 334-3955
(812) 334-5792
Mailing address
1010 W 2ND ST, BLOOMINGTON, IN 47403-2217
(812) 334-3955
(812) 334-5792
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200350420A
—
IN
Enumeration date
01/30/2007
Last updated
08/05/2013
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