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NPI Code Detail

MEDICARE: FAMILY PHYSICIANS ASSOCIATED

MEDICARE: FAMILY PHYSICIANS ASSOCIATED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianIN

General Provider Information

NPI Number : 1578563631
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY PHYSICIANS ASSOCIATED
Provider Business Mailing Address
First Line : 1025 MANCHESTER AVE
Second Line :
City : WABASH
State : IN
Zip : 46992-1425
Country : US
Telephone Number : 260-563-7421
Fax Number : 260-563-7725
Provider Business Practice Location Address
First Line : 1025 MANCHESTER AVE
Second Line :
City : WABASH
State : IN
Zip : 46992-1425
Country : US
Telephone Number : 260-563-7421
Fax Number : 260-563-7725
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. KIM RENE OBANION
Credential :
Telephone Number : 260-563-7421
Provider Enumeration Date : 07/29/2005
Last Update Date : 07/21/2022

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Directions to “FAMILY PHYSICIANS ASSOCIATED ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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