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Organization

MIDDLEBURY URGENT CARE &OCCMED, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVENS C MARSHALL D.O. (PRESIDENT/PHYSICIAN)
(574) 825-8184
Entity
Organization

Contact information

Practice address
407 N MAIN ST, MIDDLEBURY, IN 46540-9218
(574) 825-8184
(574) 825-6176
Mailing address
407 N MAIN ST, MIDDLEBURY, IN 46540-9218
(574) 825-8184
(574) 825-6176

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02001282A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396740585
NATIONAL PROVIDER IDENTIF
IN
Enumeration date
03/29/2006
Last updated
08/22/2020
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