Organization
FRANCISCAN HEALTH RENSSELAER, INC.
Active
Other names
Franciscan Brook Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE WILSON (PRESIDENT/CEO)
(765) 502-4440
Entity
Organization
Contact information
Practice address
420 E MAIN ST, BROOK, IN 47922-8715
(219) 275-2521
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
IN
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100187080
—
IN
Enumeration date
06/03/2015
Last updated
02/15/2023
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