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Organization

UNION ASSOCIATED PHYSICIANS CLINIC, LLC

Active
Other names
Rose Hulman
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL P FOUTY (CFO)
(812) 242-3434
Entity
Organization

Contact information

Practice address
5500 WABASH AVE, TERRE HAUTE, IN 47803-3920
(812) 877-8367
(812) 872-6225
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 232-0564
(812) 242-4590

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/22/2014
Last updated
10/22/2014
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