Organization
MIDWEST MEDICAL MANAGEMENT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE M STONE MD (PRESIDENT / OWNER)
(833) 732-1066
Entity
Organization
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
(812) 238-7141
Mailing address
PO BOX 42329, PHILADELPHIA, PA 19101-2329
(800) 732-1066
(630) 941-4333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000101352
BLUE SHIELD
IN
05
—
100239300A
—
IN
Enumeration date
06/05/2006
Last updated
03/25/2011
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