| C. Bryan Wait, M.d., Internal Medicine,p.c. | |
|
360 N Oak St Columbia City IN 46725-1608 | |
| (260) 244-0238 | |
| (260) 244-1976 |
| Full Name | C. Bryan Wait, M.d., Internal Medicine,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 360 N Oak St, Columbia City, Indiana |
| Authorized Official Name and Position | Calvert Bryan Wait (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2602440238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Bryan Wait, M.d., Internal Medicine,p.c. 360 N Oak St Columbia City IN 46725-1608 Ph: (260) 244-0238 | C. Bryan Wait, M.d., Internal Medicine,p.c. 360 N Oak St Columbia City IN 46725-1608 Ph: (260) 244-0238 |
| NPI Number | 1841423027 |
|---|---|
| Provider Enumeration Date | 09/03/2009 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841423027 | NPI | - | NPPES |
| 200963590 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 50005079A (Indiana) | Primary |