| Maplewood Family Medicine, Llc | |
|
3270 Intertech Dr Suite B Angola IN 46703-7325 | |
| (260) 665-9100 | |
| (260) 665-9112 |
| Full Name | Maplewood Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3270 Intertech Dr, Angola, Indiana |
| Authorized Official Name and Position | Christopher James Bretz (PHYSICIAN - OWNER) |
| Authorized Official Contact | 2606659100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maplewood Family Medicine, Llc Po Box 626 Fremont IN 46737-0626 Ph: (260) 665-9100 | Maplewood Family Medicine, Llc 3270 Intertech Dr Suite B Angola IN 46703-7325 Ph: (260) 665-9100 |
| NPI Number | 1295991222 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 08/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295991222 | NPI | - | NPPES |
| 200508530A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01058292A (Indiana) | Primary |
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