Organization
SAINT JOHN HEALTH SYSTEM
Active
Other names
Middletown Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
D. BRUCE HAGA (VICE PRESIDENT)
(317) 583-3087
Entity
Organization
Contact information
Practice address
602 N 5TH ST, MIDDLETOWN, IN 47356-1008
(765) 354-2062
(765) 354-4679
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
12/03/2007
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