Organization
OBSTETRICS-GYNECLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA BERNARDIN (OFFICE MANAGER)
(765) 664-5134
Entity
Organization
Contact information
Practice address
1389 N BALDWIN AVE, MARION, IN 46952-1913
(765) 664-5134
(765) 664-0469
Mailing address
1389 N BALDWIN AVE, MARION, IN 46952-1913
(765) 664-5134
(765) 664-0469
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50000120A
IN
Other
Enumeration date
03/23/2006
Last updated
08/22/2020
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