Organization
MIDDLEBURY FAMILY PHYSICIANS, INC
Active
Other names
Millersburg Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN P WENDLER (ADINISTRATOR)
(574) 825-2146
Entity
Organization
Contact information
Practice address
501 E WASHINGTON ST, MILLERSBURG, IN 46543-7711
(574) 642-4550
(574) 642-4877
Mailing address
501 E WASHINGTON ST, MILLERSBURG, IN 46543-7711
(574) 642-4550
(574) 642-4877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE5884
R/R MEDICARE
IN
Enumeration date
02/01/2007
Last updated
03/05/2008
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