Greencastle Wound & Diabetic Foot Care Clinic, Llc | |
305 Medic Way Greencastle IN 46135-2296 | |
(765) 720-7085 | |
Not Available |
Full Name | Greencastle Wound & Diabetic Foot Care Clinic, Llc |
---|---|
Speciality | Clinic/center |
Location | 305 Medic Way, Greencastle, Indiana |
Authorized Official Name and Position | Amelia Estalilla-quiz (OWNER/PRESIDENT) |
Authorized Official Contact | 7657207085 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Greencastle Wound & Diabetic Foot Care Clinic, Llc 305 Medic Way Greencastle IN 46135-2296 Ph: (765) 720-7085 | Greencastle Wound & Diabetic Foot Care Clinic, Llc 305 Medic Way Greencastle IN 46135-2296 Ph: (765) 720-7085 |
NPI Number | 1942483896 |
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Provider Enumeration Date | 12/14/2007 |
Last Update Date | 05/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942483896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 71002412A (Indiana) | Primary |
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› Verified 6 days ago
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