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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