Organization
MAPLEWOOD FAMILY MEDICINE, LLC
Active
Other names
Christopher J. Bretz, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JAMES BRETZ M.D. (PHYSICIAN - OWNER)
(260) 665-9100
Entity
Organization
Contact information
Practice address
3270 INTERTECH DR, SUITE B, ANGOLA, IN 46703-7325
(260) 665-9100
(260) 665-9112
Mailing address
PO BOX 626, FREMONT, IN 46737-0626
(260) 665-9100
(260) 665-9112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01058292A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200508530A
—
IN
Enumeration date
07/29/2008
Last updated
08/29/2008
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