Middlebury Urgent Care &Occmed, P.C.

Organization Active NPI General Practice Physician · Middlebury, IN

NPI 1992766059 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992766059
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
02001282A (IN)
Legal business name
MIDDLEBURY URGENT CARE &OCCMED, P.C.
Practice address
407 N Main St
Middlebury, IN 46540-9218
Phone
(574) 825-8184
Fax
(574) 825-6176
NPI assigned
Mar 29, 2006
Organization subpart
No

Authorized official

Name
Dr. Stevens C Marshall, D.O.
Title
President/Physician
Phone
(574) 825-8184

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

407 N Main St
Middlebury, IN 46540
Phone (571) 825-8184

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X 02001282A IN Yes

Addresses

Primary practice location

407 N Main St
Middlebury, IN 46540-9218

Mailing address

407 N Main St
Middlebury, IN 46540-9218
Phone (574) 825-8184

Other identifiers

IdentifierTypeStateIssuer
1396740585OtherINNATIONAL PROVIDER IDENTIF

Other providers in Middlebury, IN

All providers in Middlebury, IN · General Practice Physician in Indiana

Sources for this page

Verify at the official NPI Registry.