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Organization

DEACONESS CLINC INC

Active
Other names
Deaconess Clinic - Downtown
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization

Contact information

Practice address
120 SE 4TH ST, EVANSVILLE, IN 47708-1607
(812) 450-6966
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
207K00000X
Allergy & Immunology Physician
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RR0500X
Rheumatology Physician
208000000X
Pediatrics Physician
2084N0400X
Neurology Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
01/06/2020
Last updated
03/25/2021
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