Individual
WILLIAM L. REMINGTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 PROVIDENT DRIVE, STE B, WARSAW, IN 46580
(574) 268-4300
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3513
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035466A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100468290
—
IN
Enumeration date
06/14/2006
Last updated
10/06/2020
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