Organization
MEDSTAT LLC
Active
Parent organization
MEDSTAT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDSTAT LLC
Authorized official
MEGAN MARTIN (VICE PRESIDENT)
(574) 372-7638
Entity
Organization
Contact information
Practice address
1500 PROVIDENT DR STE A, WARSAW, IN 46580-3297
(574) 372-7637
Mailing address
1500 PROVIDENT DR STE A, WARSAW, IN 46580-3297
(574) 372-7637
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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