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Organization

ADAMS COUNTY MEMORIAL HOSPITAL

Active
Other names
Monroe Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS L NUSSBAUM MD (PHYSICIAN MANAGER)
(260) 692-6163
Entity
Organization

Contact information

Practice address
205 TOWER DR, MONROE, IN 46772-9362
(260) 692-6163
(260) 728-3949
Mailing address
205 TOWER DR, MONROE, IN 46772-9362
(260) 692-6163
(260) 728-3949

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01063067
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200907640A
IN
Enumeration date
06/10/2008
Last updated
07/06/2010
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