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Monroe Family Practice, LLC

Family Medicine in Bloomington, IN. Organization (NPI-2).

NPI number1457570541
StatusActive
Last updated in NPPESSep 28, 2007

Details

NPI
1457570541
Entity type
Organization (NPI-2)
Legal business name
Monroe Family Practice, LLC
Organization subpart
No
Enumeration date
Apr 25, 2007
Last updated
Sep 28, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

3209 W Fullerton Pike
Suite B
Bloomington, IN 47403-4057

Phone 812-825-5191 · Fax 812-825-5197

Mailing address

3209 W Fullerton Pike
Suite B
Bloomington, IN 47403-4057

Phone 812-825-5191 · Fax 812-825-5197

Authorized official

Robert Stancombe
Partner
8128255191

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