Organization
DEKALB MEMORIAL HOSPITAL, INC
Active
Other names
DEKALB HEALTH MEDICAL GROUP-FAMILY PRACTICE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG POLKOW (CEO)
(260) 925-4600
Entity
Organization
Contact information
Practice address
1314 E 7TH ST, SUITE 101, AUBURN, IN 46706-2535
(260) 925-0403
(260) 925-9545
Mailing address
PO BOX 623, AUBURN, IN 46706-0623
(260) 920-2794
(260) 927-8026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
09/13/2016
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