Organization
WYBENGA FAMILY HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAARTEN A WYBENGA M.D. (OWNER)
(334) 358-2010
Entity
Organization
Contact information
Practice address
564 N MEMORIAL DR, PRATTVILLE, AL 36067-2132
(334) 358-2010
Mailing address
2257 TAYLOR RD, 200, MONTGOMERY, AL 36117-7790
(334) 270-9914
(334) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
08/22/2007
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