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Individual

VICTORIA M WATTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1355 MARINERS DR, WARSAW, IN 46582-7145
(574) 267-6778
(574) 267-3134
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01073377A
IN
207Q00000X
Family Medicine Physician
35-124156
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0107889
OH
01
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
03/24/2011
Last updated
06/15/2020
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