Organization
ST MARY'S MEDICAL GROUP, LLC
Active
Other names
Ascension Medical Group St. Vincent Evansville, St Vincent Evansville Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J MILLIKAN (CEO)
(812) 485-4000
Entity
Organization
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47750-0001
(812) 485-4000
Mailing address
PO BOX 13059, BELFAST, ME 04915-4021
(317) 583-3022
(317) 583-2199
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/25/2013
Last updated
06/29/2020
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