Organization
MUNCIE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY BRUCE HILTZ M.D. (PRESIDENT)
(765) 213-2234
Entity
Organization
Contact information
Practice address
503 S TILLOTSON AVE, MUNCIE, IN 47304-4447
(765) 213-2234
(765) 282-5231
Mailing address
503 S TILLOTSON AVE, MUNCIE, IN 47304-4447
(765) 213-2234
(765) 282-5231
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
01042668
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200064040
—
IN
Enumeration date
07/31/2007
Last updated
07/31/2007
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