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Organization

MONTICELLO WOMEN'S CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELE COULON WHITT MC (PRESIDENT)
(574) 826-2200
Entity
Organization

Contact information

Practice address
810 S 6TH ST, MONTICELLO, IN 47960-8199
(574) 826-2200
Mailing address
810 S 6TH ST, MONTICELLO, IN 47960-8199
(574) 826-2200

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
50004824A
IN

Other

Enumeration date
06/20/2006
Last updated
11/13/2007
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