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Organization

WABASH VALLEY INTERNAL MEDICINE LLC

Active
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Organization

WABASH VALLEY INTERNAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN A BOLINGER D.O. (OWNER)
(812) 448-1701
Entity
Organization

Contact information

Practice address
6898 N COUNTY ROAD 375 W, BRAZIL, IN 47834-7262
(812) 448-1701
Mailing address
6898 N COUNTY ROAD 375 W, BRAZIL, IN 47834-7262
(812) 448-1701

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02001231
IN

Other

Enumeration date
11/13/2006
Last updated
08/22/2020
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