Family Medicine in Columbia

NPI #1144320086 in Columbia, Illinois

Provider Information

NPI Number: 1144320086
Entity Type: Organization
Organization Name: Family Medicine in Columbia
Primary Specialty: Family Medicine
Enumeration Date: Sep 22, 2006
Last Updated: Sep 25, 2007

Practice Location

Address: 123 WEDGEWOOD DR
City: Columbia
State: Illinois
ZIP Code: 62236
Phone: (618) 281-2233

Authorized Official

Name: DR. ANDRZEJ J WASIAK, MD
Title: PRESIDENT
Phone: (618) 281-2233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Individual Providers

Provider Name	Specialty	City
Carrie A Daigle, MD	Family Medicine	Columbia	AI Deep Dive
Kelly Ann Wood, M.D.	Family Medicine	Columbia	AI Deep Dive
DR. Sean David Lattimore, D.O.	Family Medicine	Columbia	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Monclair Enterprises, Inc.	Family Medicine	Columbia	AI Deep Dive

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