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Ambulatory Health Care Facilities Clinic/Center

Provider NPI: 1467648907

Organization Information:
Organization is not Subpart
Authorized Official:  MARIANNE BAUM LINDROTH  PC OWNER  615-468-6548

Practice Location:
806 JACKSON ST  COLUMBUS, IN 47201-6264 US
Tel: 812-377-6020  Fax: 812-377-6024

Business Mailing Address:
Tel: 877-865-9001  Fax: 217-709-2345

NPI Information:
NPI: 1467648907
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y261Q00000XAmbulatory Health Care Facilities

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261Q00000X





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