Organization
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Active
Other names
Indiana State University
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MARIETTA (REVENUE CYCLE DIRECTOR)
(812) 232-0564
Entity
Organization
Contact information
Practice address
567 N 5TH ST, TERRE HAUTE, IN 47809-1903
(812) 237-3883
(812) 237-7955
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 232-0564
(812) 242-3861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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