Wabash Em I Medical Services PC
NPI #1013110295 in Logansport, Indiana
Provider Information
- NPI Number
- 1013110295
- Entity Type
- Organization
- Organization Name
- Wabash Em I Medical Services PC
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 6, 2007
- Last Updated
- Aug 12, 2019
Practice Location
- Address
- 1101 MICHIGAN AVE
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-1528
- Phone
- (574) 753-7541
Authorized Official
- Name
- KATHY KONDAS
- Title
- OFFICER
- Phone
- (954) 838-2371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Physician Assistant |
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