Individual
CALVERT BRYAN WAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 N OAK ST, COLUMBIA CITY, IN 46725-1608
(260) 244-0238
(260) 244-1976
Mailing address
360 N OAK ST, COLUMBIA CITY, IN 46725-1608
(260) 244-0238
(260) 244-1976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01032361A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100263180A
—
IN
01
—
110175692
RAILROAD MEDICARE
IN
01
—
3937240004
MEDICARE DMEPOS
IN
Enumeration date
12/29/2005
Last updated
07/09/2015
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