Oetter Family Medical Corp | |
401 Wall St Valparaiso IN 46383-2521 | |
(219) 281-1729 | |
Not Available |
Full Name | Oetter Family Medical Corp |
---|---|
Speciality | Family Medicine |
Location | 401 Wall St, Valparaiso, Indiana |
Authorized Official Name and Position | Kendell Lynn Oetter (PHYSICIAN) |
Authorized Official Contact | 2197896704 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oetter Family Medical Corp 401 Wall St Suite B Valparaiso IN 46383-2521 Ph: (219) 281-1729 | Oetter Family Medical Corp 401 Wall St Valparaiso IN 46383-2521 Ph: (219) 281-1729 |
NPI Number | 1619343019 |
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Provider Enumeration Date | 08/19/2015 |
Last Update Date | 08/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619343019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02001332A (Indiana) | Primary |
News Archive
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› Verified 8 days ago
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