| Marion Family Practice LLC | |
|
1391 N Baldwin Ave Marion IN 46952-1913 | |
| (765) 662-2534 | |
| (765) 671-7793 |
| Full Name | Marion Family Practice LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1391 N Baldwin Ave, Marion, Indiana |
| Authorized Official Name and Position | James M Orrell (OWNER/TREASURER) |
| Authorized Official Contact | 7656717740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Family Practice LLC 1391 N Baldwin Ave Marion IN 46952-1913 Ph: (765) 662-2534 | Marion Family Practice LLC 1391 N Baldwin Ave Marion IN 46952-1913 Ph: (765) 662-2534 |
| NPI Number | 1730128018 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 03/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730128018 | NPI | - | NPPES |
| 100122920 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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