| Marion Occupational Medicine Llc | |
|
1614 N Baldwin Ave Marion IN 46952-1437 | |
| (765) 664-9000 | |
| Not Available |
| Full Name | Marion Occupational Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1614 N Baldwin Ave, Marion, Indiana |
| Authorized Official Name and Position | Gardner Bartrum (CEO) |
| Authorized Official Contact | 7656649000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Occupational Medicine Llc 1614 N Baldwin Ave Marion IN 46952-1437 Ph: (765) 664-9000 | Marion Occupational Medicine Llc 1614 N Baldwin Ave Marion IN 46952-1437 Ph: (765) 664-9000 |
| NPI Number | 1225332315 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 07/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225332315 | NPI | - | NPPES |
| 201015960 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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