Organization
PARKER FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JOHN RUSSO I D.O. (DOCTOR)
(574) 946-3245
Entity
Organization
Contact information
Practice address
222 S MONTICELLO ST, WINAMAC, IN 46996-1543
(574) 946-3245
(574) 946-3383
Mailing address
222 S MONTICELLO ST, WINAMAC, IN 46996-1543
(574) 946-3245
(574) 946-3383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/21/2008
Last updated
11/10/2008
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