| William D Province MD Inc | |
|
100 N Main St Franklin IN 46131-1721 | |
| (317) 736-7177 | |
| (317) 736-7995 |
| Full Name | William D Province MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 N Main St, Franklin, Indiana |
| Authorized Official Name and Position | William D Province (PRESIDENT) |
| Authorized Official Contact | 3177367177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William D Province MD Inc 100 N Main St Franklin IN 46131-1721 Ph: (317) 736-7177 | William D Province MD Inc 100 N Main St Franklin IN 46131-1721 Ph: (317) 736-7177 |
| NPI Number | 1376679753 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376679753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 50001108A (Indiana) | Primary |
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