Organization
GREENCASTLE WOUND & DIABETIC FOOT CARE CLINIC, LLC
Active
Organization
GREENCASTLE WOUND & DIABETIC FOOT CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA ESTALILLA-QUIZ NP-C (OWNER/PRESIDENT)
(765) 720-7085
Entity
Organization
Contact information
Practice address
305 MEDIC WAY, GREENCASTLE, IN 46135-2296
(765) 720-7085
Mailing address
305 MEDIC WAY, GREENCASTLE, IN 46135-2296
(765) 720-7085
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
71002412A
IN
Other
Enumeration date
12/14/2007
Last updated
05/14/2008
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