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Organization

PHYSICIANS' HEALTH GROUP, LLC

Active
Other names
Richard Gries M.D.
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROLYN WEINERT (EXECUTIVE DIRECTOR)
(812) 485-1818
Entity
Organization

Contact information

Practice address
304 E. HIGHWAY 68, HAUBSTADT, IN 47639
(812) 464-3016
(812) 753-4148
Mailing address
PO BOX 370, HAUBSTADT, IN 47639-0370
(812) 464-3016
(812) 753-4148

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000245598
BCBS
IN
01
065639
HEALTH ALLIANCE
01
CK5998
RAILROAD MEDICARE
Enumeration date
03/10/2006
Last updated
04/20/2008
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