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Organization

MIDDLEBURY FAMILY PHYSICIANS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN P WENDLER (ADMINISTRATOR)
(574) 825-2146
Entity
Organization

Contact information

Practice address
206 W. WARREN STREET, MIDDLEBURY, IN 46540-0459
(574) 825-2146
(574) 825-2182
Mailing address
PO BOX 459, MIDDLEBURY, IN 46540-0459
(574) 825-2146
(574) 825-2182

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB2090
R/R MEDICARE
IN
Enumeration date
07/24/2006
Last updated
03/05/2008
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