Organization
PREMIER HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY W RATLIFF M.D. (PRESIDENT)
(812) 355-6900
Entity
Organization
Contact information
Practice address
490 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 339-2446
(812) 331-3307
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 355-6900
(812) 355-3251
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IN
Other
Enumeration date
03/17/2011
Last updated
05/09/2013
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