Wolcott Family Medicine, LLC

NPI #1497946818 in Wolcott, Indiana

Provider Information

NPI Number: 1497946818
Entity Type: Organization
Organization Name: Wolcott Family Medicine, LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 9, 2007
Last Updated: Sep 30, 2010

Practice Location

Address: 128 W MARKET STREET
City: Wolcott
State: Indiana
ZIP Code: 47995
Phone: (219) 279-2264

Authorized Official

Name: JAMES K SHIELDS, MD
Title: OWNER/PHYSICIAN
Phone: (219) 279-2264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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