Digestive Diseases Center | |
2920 Mcintyre Dr Ste 310 Bloomington IN 47403-4215 | |
(812) 331-0233 | |
(812) 331-0287 |
Full Name | Digestive Diseases Center |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 2920 Mcintyre Dr Ste 310, Bloomington, Indiana |
Authorized Official Name and Position | Richard A Weddle (PRESIDENT) |
Authorized Official Contact | 8123310233 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Digestive Diseases Center 2920 S Mcintyre Dr Ste 310 Bloomington IN 47403-4215 Ph: (812) 331-0233 | Digestive Diseases Center 2920 Mcintyre Dr Ste 310 Bloomington IN 47403-4215 Ph: (812) 331-0233 |
NPI Number | 1831394766 |
---|---|
Provider Enumeration Date | 06/20/2007 |
Last Update Date | 04/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831394766 | NPI | - | NPPES |
200890860A | Medicaid | IN | |
100184520 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 01031299A (Indiana) | Primary |
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