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Organization

JENNIFER IRENE WAKELAND BIGELOW MD

Active
Other names
In His Hands Family Medicine LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER IRENE WAKELAND BIGELOW MD (OWNER/PRESIDENT)
(317) 584-3255
Entity
Organization

Contact information

Practice address
461 TOWN CENTER ST N, MOORESVILLE, IN 46158-2316
(317) 584-3255
(317) 584-3259
Mailing address
461 TOWN CENTER ST N, MOORESVILLE, IN 46158-2316
(317) 584-3255
(317) 584-3259

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050867A
IN
207VX0000X
Obstetrics Physician
01050867A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LPI200198850B
IN
Enumeration date
01/05/2017
Last updated
02/23/2017
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