Organization
C. BRYAN WAIT, M.D., INTERNAL MEDICINE,P.C.
Active
Organization
C. BRYAN WAIT, M.D., INTERNAL MEDICINE,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVERT BRYAN WAIT M.D. (PHYSICIAN/OWNER)
(260) 244-0238
Entity
Organization
Contact information
Practice address
360 N OAK ST, COLUMBIA CITY, IN 46725-1608
(260) 244-0238
(260) 244-1976
Mailing address
360 N OAK ST, COLUMBIA CITY, IN 46725-1608
(260) 244-0238
(260) 244-1976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50005079A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200963590
—
IN
Enumeration date
09/03/2009
Last updated
01/11/2010
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