Organization
DIGESTIVE DISEASES CENTER
Active
Organization
DIGESTIVE DISEASES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A WEDDLE MD (PRESIDENT)
(812) 331-0233
Entity
Organization
Contact information
Practice address
2920 MCINTYRE DR STE 310, BLOOMINGTON, IN 47403-4215
(812) 331-0233
(812) 331-0287
Mailing address
2920 S MCINTYRE DR STE 310, BLOOMINGTON, IN 47403-4215
(812) 331-0233
(812) 331-0287
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01031299A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184520
—
IN
05
—
200890860A
—
IN
Enumeration date
06/20/2007
Last updated
04/29/2008
Update your record
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