Wabash Valley Internal Medicine LLC

NPI #1669543260 in Brazil, Indiana

Provider Information

NPI Number: 1669543260
Entity Type: Organization
Organization Name: Wabash Valley Internal Medicine LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 6898 N COUNTY ROAD 375 W
City: Brazil
State: Indiana
ZIP Code: 47834-7262
Phone: (812) 448-1701

Authorized Official

Name: DR. JOHN A BOLINGER, D.O.
Title: OWNER
Phone: (812) 448-1701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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